Healthcare Provider Details

I. General information

NPI: 1578757142
Provider Name (Legal Business Name): GLAMME SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24557 456TH AVE
COLTON SD
57018-5037
US

IV. Provider business mailing address

24557 456TH AVE
COLTON SD
57018-5037
US

V. Phone/Fax

Practice location:
  • Phone: 605-446-3930
  • Fax: 605-446-3930
Mailing address:
  • Phone: 605-446-3930
  • Fax: 605-446-3930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number51001EFT001
License Number StateSD

VIII. Authorized Official

Name: MR. LANCE ALLEN GLAMMEIER
Title or Position: PRESIDENT
Credential:
Phone: 605-446-3930