MEDICARE: CITY OF DELL RAPIDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus

General Provider Information

NPI Number	:	1598159097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF DELL RAPIDS

Provider Business Mailing Address
First Line	:	302 E 4TH ST
Second Line	:	PO BOX 10
City	:	DELL RAPIDS
State	:	SD
Zip	:	57022-1926
Country	:	US
Telephone Number	:	605-428-3595
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 E 4TH ST
Second Line	:
City	:	DELL RAPIDS
State	:	SD
Zip	:	57022-1926
Country	:	US
Telephone Number	:	605-428-3595
Fax Number	:

Authorized Official
Title or Position	:	CITY ADMINISTRATOR
Name	:	JUSTIN WEILAND
Credential	:
Telephone Number	:	605-428-3595

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	03/23/2015

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Directions to “CITY OF DELL RAPIDS ” Practice Location

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