Healthcare Provider Details

I. General information

NPI: 1053504746
Provider Name (Legal Business Name): SIOUX FALLS WHEELCHAIR TRANSPORTATION SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 S OLD ORCHARD CIR
SIOUX FALLS SD
57103-4339
US

IV. Provider business mailing address

PO BOX 1816
SIOUX FALLS SD
57101-1816
US

V. Phone/Fax

Practice location:
  • Phone: 606-336-9625
  • Fax: 605-336-3256
Mailing address:
  • Phone: 605-336-9625
  • Fax: 605-336-3256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number51001EST001
License Number StateSD

VIII. Authorized Official

Name: MR. DAVID A KADINGER
Title or Position: PRESIDENT
Credential:
Phone: 605-336-9625