Provider Demographics
NPI:1063684587
Name:CITY OF MITCHELL/PALACE TRANSIT
Entity Type:Organization
Organization Name:CITY OF MITCHELL/PALACE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-995-8440
Mailing Address - Street 1:300 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-2515
Mailing Address - Country:US
Mailing Address - Phone:605-995-8440
Mailing Address - Fax:605-995-8439
Practice Address - Street 1:300 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-2515
Practice Address - Country:US
Practice Address - Phone:605-995-8440
Practice Address - Fax:605-995-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus