Provider Demographics
NPI:1114355765
Name:GROTON COMMUNITY TRANSIT, INC.
Entity Type:Organization
Organization Name:GROTON COMMUNITY TRANSIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSIT DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-397-8661
Mailing Address - Street 1:P.O. BOX 693
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:SD
Mailing Address - Zip Code:57445
Mailing Address - Country:US
Mailing Address - Phone:605-397-8661
Mailing Address - Fax:605-397-8661
Practice Address - Street 1:205 E 2ND AVE.
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:SD
Practice Address - Zip Code:57445
Practice Address - Country:US
Practice Address - Phone:605-397-8661
Practice Address - Fax:605-397-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)