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NPI Code Detail

MEDICARE: CITY OF REDFIELD

MEDICARE: CITY OF REDFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital10560SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417148123
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF REDFIELD
Provider Business Mailing Address
First Line : 111 WEST 10 AVE
Second Line :
City : REDFIELD
State : SD
Zip : 57469-1519
Country : US
Telephone Number : 605-472-1110
Fax Number : 605-472-0331
Provider Business Practice Location Address
First Line : 111 W 10TH AVE
Second Line :
City : REDFIELD
State : SD
Zip : 57469-1519
Country : US
Telephone Number : 605-472-1110
Fax Number : 605-472-0331
Authorized Official
Title or Position : CEO/ADMINISTRATOR
Name : MRS. KAREN E. SJURSETH
Credential :
Telephone Number : 605-472-1110
Provider Enumeration Date : 08/07/2007
Last Update Date : 05/12/2021

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Directions to “CITY OF REDFIELD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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