Organization
CITY OF HARTFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLEEN WEERHEIM (ICAP DEP. DIRECTOR)
(605) 256-6518
Entity
Organization
Contact information
Practice address
125 N MAIN AVE, HARTFORD, SD 57033-2166
(605) 528-6187
Mailing address
125 N MAIN AVE, HARTFORD, SD 57033-2166
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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