Organization
HEARTLAND MEDIVAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM D NIKKEL (OWNER)
10652050061
Entity
Organization
Contact information
Practice address
31566 469TH AVE, BURBANK, SD 57010-7028
(605) 205-0061
Mailing address
P.O. BOX 374, VERMILLION, SD 57069
(605) 205-0061
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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