Healthcare Provider Details

I. General information

NPI: 1093646952
Provider Name (Legal Business Name): RUFUS DOEWAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 S BERGAMOT AVE UNIT 2113
SIOUX FALLS SD
57108-3845
US

IV. Provider business mailing address

7950 S BERGAMOT AVE UNIT 2113
SIOUX FALLS SD
57108-3845
US

V. Phone/Fax

Practice location:
  • Phone: 605-937-9412
  • Fax:
Mailing address:
  • Phone: 605-937-9412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: