Provider Demographics
NPI:1457479388
Name:DE SMET EMERGENCY RESCUE UNIT INC.
Entity Type:Organization
Organization Name:DE SMET EMERGENCY RESCUE UNIT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOJER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-854-3256
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:102 HWY 25 S
Mailing Address - City:DE SMET
Mailing Address - State:SD
Mailing Address - Zip Code:57231-0094
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:605-854-9045
Practice Address - Street 1:102 HWY 25 S
Practice Address - Street 2:
Practice Address - City:DE SMET
Practice Address - State:SD
Practice Address - Zip Code:57231-0094
Practice Address - Country:US
Practice Address - Phone:605-854-3256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9000440Medicaid
SD99023Medicare PIN