Provider Demographics
NPI:1629172739
Name:CITY OF RAPID CITY
Entity Type:Organization
Organization Name:CITY OF RAPID CITY
Other - Org Name:RAPID CITY FIRE AND EMERGENCY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:N
Authorized Official - Last Name:CULBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-394-4180
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2832
Mailing Address - Country:US
Mailing Address - Phone:605-394-4180
Mailing Address - Fax:605-394-5145
Practice Address - Street 1:10 MAIN STREET
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2832
Practice Address - Country:US
Practice Address - Phone:605-394-4180
Practice Address - Fax:605-394-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD020341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
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OH2556961Medicaid
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P00009677OtherPALMETTO RAILROAD MC
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MO806068607Medicaid
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