Provider Demographics
NPI:1346746872
Name:COMMUNITY COORDINATED TRANSPORTATION SYSTEM
Entity Type:Organization
Organization Name:COMMUNITY COORDINATED TRANSPORTATION SYSTEM
Other - Org Name:RIVER CITIES PUBLIC TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMGART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-945-2360
Mailing Address - Street 1:1600 E DAKOTA AVE.
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-4040
Mailing Address - Country:US
Mailing Address - Phone:605-945-2360
Mailing Address - Fax:605-945-4276
Practice Address - Street 1:700 E 52ND ST NORTH
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57032
Practice Address - Country:US
Practice Address - Phone:605-945-2360
Practice Address - Fax:605-945-4276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY COORDINATED TRANSPORTATION SY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)