Provider Demographics
NPI:1164582797
Name:BROOKINGS AREA TRANSIT AUTHORITY INC
Entity Type:Organization
Organization Name:BROOKINGS AREA TRANSIT AUTHORITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-692-5416
Mailing Address - Street 1:418 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-1815
Mailing Address - Country:US
Mailing Address - Phone:605-692-5416
Mailing Address - Fax:605-692-5416
Practice Address - Street 1:418 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-1815
Practice Address - Country:US
Practice Address - Phone:605-692-5416
Practice Address - Fax:605-692-5416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9515470Medicaid
SD9030520Medicaid