Healthcare Provider Details
I. General information
NPI: 1477525517
Provider Name (Legal Business Name): CITY OF REDFIELD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2006
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1031 W 2ND ST
REDFIELD SD
57469-1501
US
IV. Provider business mailing address
PO BOX 420
REDFIELD SD
57469-0420
US
V. Phone/Fax
- Phone: 605-472-2941
- Fax:
- Phone: 605-472-1110
- Fax: 605-472-0331
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
E.
SJURSETH
Title or Position: CEO ADMINISTRATOR
Credential:
Phone: 605-472-1110