Healthcare Provider Details

I. General information

NPI: 1891494514
Provider Name (Legal Business Name): DAKOTA NON-MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E 3RD ST # 209
SIOUX FALLS SD
57103-0901
US

IV. Provider business mailing address

4329 N ALASKA AVE
SIOUX FALLS SD
57107-6825
US

V. Phone/Fax

Practice location:
  • Phone: 605-323-9002
  • Fax:
Mailing address:
  • Phone: 605-323-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: SINZINKAYO N ELI
Title or Position: MEMBER
Credential:
Phone: 605-323-9002