Provider Demographics
NPI:1588655179
Name:CITY OF ABERDEEN SD
Entity Type:Organization
Organization Name:CITY OF ABERDEEN SD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-626-7034
Mailing Address - Street 1:123 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4215
Mailing Address - Country:US
Mailing Address - Phone:605-626-7045
Mailing Address - Fax:605-626-3518
Practice Address - Street 1:123 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4215
Practice Address - Country:US
Practice Address - Phone:605-626-7045
Practice Address - Fax:605-626-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0002475OtherWELLMARK BCBS
SD9010470Medicaid
SD24714OtherSIOUX VALLEY HEALTH PLAN
GA590007789OtherPALMETTO RR MEDICARE
GA590007789OtherPALMETTO RR MEDICARE