Provider Demographics
NPI:1265633556
Name:CITY OF SCOTLAND
Entity Type:Organization
Organization Name:CITY OF SCOTLAND
Other - Org Name:SCOTLAND AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-464-0382
Mailing Address - Street 1:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND
Mailing Address - State:SD
Mailing Address - Zip Code:57059-0316
Mailing Address - Country:US
Mailing Address - Phone:605-583-2320
Mailing Address - Fax:605-583-4107
Practice Address - Street 1:530 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:SCOTLAND
Practice Address - State:SD
Practice Address - Zip Code:57059
Practice Address - Country:US
Practice Address - Phone:605-583-2320
Practice Address - Fax:605-583-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9001300Medicaid
SD9001300Medicaid