Healthcare Provider Details

I. General information

NPI: 1669308722
Provider Name (Legal Business Name): ROY LAGAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 1ST AVE SW STE A
WATERTOWN SD
57201-3507
US

IV. Provider business mailing address

5605 FLOYD ST
OVERLAND PARK KS
66202-1233
US

V. Phone/Fax

Practice location:
  • Phone: 641-202-7002
  • Fax:
Mailing address:
  • Phone:
  • 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: