City of Wall

NPI #1578789137 in Wall, South Dakota

Provider Information

NPI Number
1578789137
Entity Type
Organization
Organization Name
City of Wall
Primary Specialty
Ambulance
Enumeration Date
Apr 18, 2007
Last Updated
Dec 20, 2007

Practice Location

Address
210 2ND.STREET
City
Wall
ZIP Code
57790-0336
Phone
(605) 279-2663

Authorized Official

Name
LUCILLE DELORES HOLSETHER
Title
BOOKKEEPER
Phone
(605) 279-2663

Specialties & Taxonomy Codes

Specialty
Ambulance

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