Healthcare Provider Details

I. General information

NPI: 1720131063
Provider Name (Legal Business Name): RURAL OFFICE OF COMMUNITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WEST AVE SW
WAGNER SD
57380-9630
US

IV. Provider business mailing address

PO BOX 547
WAGNER SD
57380-0547
US

V. Phone/Fax

Practice location:
  • Phone: 605-384-3883
  • Fax: 605-384-3737
Mailing address:
  • Phone: 605-384-3883
  • Fax: 605-384-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateSD
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DARCY LYNN FOSTER
Title or Position: FISCAL CLERK
Credential:
Phone: 605-384-3883