Provider Demographics
NPI:1154476810
Name:SESDAC, INC.
Entity Type:Organization
Organization Name:SESDAC, INC.
Other - Org Name:VERMILLION PUBLIC TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-624-4419
Mailing Address - Street 1:1314 E CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-1606
Mailing Address - Country:US
Mailing Address - Phone:605-624-4419
Mailing Address - Fax:605-624-7375
Practice Address - Street 1:1314 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-1606
Practice Address - Country:US
Practice Address - Phone:605-624-4419
Practice Address - Fax:605-624-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9515190Medicare UPIN