Healthcare Provider Details

I. General information

NPI: 1144292244
Provider Name (Legal Business Name): CITY OF REDFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WEST 10TH AVE
REDFIELD SD
57469-1519
US

IV. Provider business mailing address

PO BOX 420
REDFIELD SD
57469-0420
US

V. Phone/Fax

Practice location:
  • Phone: 605-472-1110
  • Fax: 605-472-0331
Mailing address:
  • Phone: 605-472-1110
  • Fax: 605-472-0331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN E. SJURSETH
Title or Position: CEO ADMINISTRATOR
Credential:
Phone: 605-472-1110