Healthcare Provider Details

I. General information

NPI: 1407802432
Provider Name (Legal Business Name): NORTH CENTRAL MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 E OLD ORCHARD TRL
SIOUX FALLS SD
57103-4352
US

IV. Provider business mailing address

2520 E OLD ORCHARD TRL
SIOUX FALLS SD
57103-4352
US

V. Phone/Fax

Practice location:
  • Phone: 605-338-4346
  • Fax:
Mailing address:
  • Phone: 605-338-4346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JEFF NEIL RYMERSON
Title or Position: PRESIDENT
Credential:
Phone: 605-338-4346