Healthcare Provider Details

I. General information

NPI: 1023749793
Provider Name (Legal Business Name): COUNTY OF DAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W 1ST ST
WEBSTER SD
57274-1361
US

IV. Provider business mailing address

711 W 1ST ST STE 204
WEBSTER SD
57274-1364
US

V. Phone/Fax

Practice location:
  • Phone: 605-345-0911
  • Fax: 605-345-2900
Mailing address:
  • Phone: 605-345-0911
  • Fax: 605-345-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHAD ALLAN MADSEN
Title or Position: EMS DIRECTOR
Credential:
Phone: 605-345-0911