Organization
TOWN OF TABOR
Active
Other names
Tabor Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN KLOUCEK (FINANCE OFFICER)
(605) 463-2501
Entity
Organization
Contact information
Practice address
123 S LIDICE ST, TABOR, SD 57063-2055
(605) 463-2501
Mailing address
PO BOX 146, 138 N LIDICE, TABOR, SD 57063-0146
(605) 463-2501
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0124
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000590
—
SD
Enumeration date
01/26/2007
Last updated
06/21/2018
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