Healthcare Provider Details

I. General information

NPI: 1578720587
Provider Name (Legal Business Name): ABERDEEN TRANSFER SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N 4TH ST
ABERDEEN SD
57401-2730
US

IV. Provider business mailing address

524 N 4TH ST
ABERDEEN SD
57401-2730
US

V. Phone/Fax

Practice location:
  • Phone: 605-225-9600
  • Fax: 605-225-6107
Mailing address:
  • Phone: 605-225-9600
  • Fax: 605-225-6107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateSD

VIII. Authorized Official

Name: MR. DAN C. MIELKE
Title or Position: CEO
Credential:
Phone: 605-225-3600