Organization
MCCOOK COUNTY EMERGENCY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY JAMES STIEFVATER (OWNER/OPERATOR)
(605) 425-2085
Entity
Organization
Contact information
Practice address
400 S. HILL ST., SALEM, SD 57058
(605) 425-2085
(605) 425-2555
Mailing address
400 S. HILL ST., SALEM, SD 57058
(605) 425-2085
(605) 425-2555
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
0462
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010530
—
SD
Enumeration date
07/09/2006
Last updated
10/16/2012
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