Provider Demographics
NPI:1053504746
Name:SIOUX FALLS WHEELCHAIR TRANSPORTATION SERVICE, INC.
Entity Type:Organization
Organization Name:SIOUX FALLS WHEELCHAIR TRANSPORTATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:KADINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-336-9625
Mailing Address - Street 1:PO BOX 1816
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57101-1816
Mailing Address - Country:US
Mailing Address - Phone:605-336-9625
Mailing Address - Fax:605-336-3256
Practice Address - Street 1:2801 S OLD ORCHARD CIR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-4339
Practice Address - Country:US
Practice Address - Phone:606-336-9625
Practice Address - Fax:605-336-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD51001EST001343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9030050Medicaid