Organization
REHABILITATION MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M JENSEN (DIRECTOR)
(605) 444-9711
Entity
Organization
Contact information
Practice address
7110 JORDAN DRIVE, RAPID CITY, SD 57702-8738
(605) 342-4412
(605) 342-4211
Mailing address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9711
(605) 275-4013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
SD
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9167012
—
SD
Enumeration date
09/20/2006
Last updated
10/08/2021
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