Healthcare Provider Details

I. General information

NPI: 1447474192
Provider Name (Legal Business Name): MORNING STAR FAMILY MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 EAST STATE ST.
MARTIN SD
57551-0845
US

IV. Provider business mailing address

103 EAST STATE ST. P O BOX 845
MARTIN SD
57551-0845
US

V. Phone/Fax

Practice location:
  • Phone: 605-685-6710
  • Fax: 605-685-6714
Mailing address:
  • Phone: 605-685-6710
  • Fax: 605-685-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. GAYLE E KOCER
Title or Position: ACTING DIRECTOR
Credential:
Phone: 605-685-6710