Healthcare Provider Details

I. General information

NPI: 1649424193
Provider Name (Legal Business Name): SPINK CO. PUBLIC TRANSIT & SENIOR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 SOUTH MAIN STR.
REDFIELD SD
57469-1128
US

IV. Provider business mailing address

728 S MAIN ST
REDFIELD SD
57469-1128
US

V. Phone/Fax

Practice location:
  • Phone: 605-472-1552
  • Fax: 605-472-2069
Mailing address:
  • Phone: 605-472-1552
  • Fax: 605-472-2069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberMT-113
License Number StateSD

VIII. Authorized Official

Name: MS. PEGGY L. MORRIS
Title or Position: DIRECTOR
Credential:
Phone: 605-472-1552