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Organization
COUNTY OF JERAULD
Active
Organization
COUNTY OF JERAULD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON FAGERHAUG (JERAULD COUNTY AUDITOR)
(605) 539-9301
Entity
Organization
Contact information
Practice address
604 1ST ST NE, WESSINGTON SPRINGS, SD 57382-2166
(605) 539-1201
(605) 539-4580
Mailing address
604 1ST ST NE, WESSINGTON SPRINGS, SD 57382-2166
(605) 539-1201
(605) 539-4580
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099040
BC BS
SD
05
—
9000530
—
SD
01
—
S99040
MEDICARE PROVIDER#
SD
Enumeration date
01/18/2006
Last updated
11/23/2022
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