Healthcare Provider Details

I. General information

NPI: 1811969488
Provider Name (Legal Business Name): CITY OF WATERTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 1ST AVE NW
WATERTOWN SD
57201-3504
US

IV. Provider business mailing address

PO BOX 910
WATERTOWN SD
57201-0910
US

V. Phone/Fax

Practice location:
  • Phone: 605-882-5030
  • Fax: 605-882-5041
Mailing address:
  • Phone: 605-882-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number052
License Number StateSD

VIII. Authorized Official

Name: DON ROWLAND
Title or Position: FIRE CHIEF
Credential:
Phone: 605-882-5030