Organization
CITY OF GREGORY
Active
Other names
Gregory Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE A SUNDQUIST (TREASURER)
(605) 835-8058
Entity
Organization
Contact information
Practice address
120 W 6TH ST, GREGORY, SD 57533-0411
(605) 835-8058
Mailing address
PO BOX 411, GREGORY, SD 57533-0411
(605) 835-9327
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099028
WELLMARK
SD
01
—
9203893
DAKOTA CARE
SD
Enumeration date
04/11/2006
Last updated
12/30/2009
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