Organization
CLAY UNION ELECTRIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH BOTTOLFSON (BUSINESS MANAGER)
(605) 624-2673
Entity
Organization
Contact information
Practice address
1410 E CHERRY ST, VERMILLION, SD 57069-1607
(605) 624-2673
(605) 624-5526
Mailing address
PO BOX 317, VERMILLION, SD 57069-0317
(605) 624-2673
(605) 624-5526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9560090
—
SD
Enumeration date
03/16/2007
Last updated
02/18/2010
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