Organization
SHINAMERICA
Active
Other names
Ulti Med
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM ERICKSON (CEO)
(651) 291-7909
Entity
Organization
Contact information
Practice address
710 4TH STREET, DE SMET, SD 57231
(605) 854-3434
(605) 854-9234
Mailing address
PO BOX 476, 710 4TH STREET, DE SMET, SD 57231
(605) 854-3434
(605) 854-9234
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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