MEDICARE: CITY OF STURGIS

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
1	3416L0300X	Land Ambulance
2	3416L0300X	Land Ambulance	492	SD

Other Identifiers

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

General Provider Information

NPI Number	:	1447233085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF STURGIS

Provider Business Mailing Address
First Line	:	1901 BALLPARK RD
Second Line	:
City	:	STURGIS
State	:	SD
Zip	:	57785-3128
Country	:	US
Telephone Number	:	605-347-5801
Fax Number	:	605-347-2558

Provider Business Practice Location Address
First Line	:	1901 BALLPARK RD
Second Line	:
City	:	STURGIS
State	:	SD
Zip	:	57785-3128
Country	:	US
Telephone Number	:	605-347-5801
Fax Number	:	605-347-2558

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHAWN FISCHER
Credential	:
Telephone Number	:	605-347-5801

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	12/18/2018

Similar Medicare Providers

1881340503 — CITY OF STURGIS
Practice Location Address:

1901 BALLPARK RD
STURGIS, SD
57785-3128

Practice Phone: 605-347-5801
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1437083748 — CHRISTINE SCHLOSSER
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1780516757 — JAE HANKS DPT
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1588597298 — LUKE DAVID ALTSTIEL
Practice Location Address:

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STURGIS, SD
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1821092818 — JAMES D KIENITZ MSW
Practice Location Address:

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1962409771 — DR. LISA MARIE LUNDSTROM D.C.
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Directions to “CITY OF STURGIS ” Practice Location

Language	Start Address	Practice Location

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