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Organization

RURAL OFFICE OF COMMUNITY SERVICES

Active
Parent organization
RURAL OFFICE OF COMMUNITY SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
RURAL OFFICE OF COMMUNITY SERVICES
Authorized official
PETER SMITH (CEO)
(605) 481-8223
Entity
Organization

Contact information

Practice address
107 SOUTH MAIN AVE, WAGNER, SD 57380
(605) 630-9847
Mailing address
PO BOX 547, WAGNER, SD 57380
(605) 384-3883

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013174325
SD
05
1720131063
SD
Enumeration date
06/14/2024
Last updated
06/14/2024
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