# CITY OF BRIDGEWATER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF BRIDGEWATER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336119544
- **Legal business name:** CITY OF BRIDGEWATER
- **Authorized official:** RONALD H PRINGLE (MAYOR)
- **Authorized official phone:** (605) 729-2690

## Contact information

- **Practice address:** 232 N MAIN AVE, BRIDGEWATER, SD 57319-0037
- **Practice address phone:** (605) 729-2690
- **Practice address fax:** (605) 729-2090
- **Mailing address:** PO BOX 37, 232 N MAIN AVE, BRIDGEWATER, SD 57319-0037
- **Mailing address phone:** (605) 729-2690
- **Mailing address fax:** (605) 729-2090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 461 | SD | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 04/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000910 | — | SD |