Provider Demographics
NPI:1649424193
Name:SPINK CO. PUBLIC TRANSIT & SENIOR CENTER
Entity Type:Organization
Organization Name:SPINK CO. PUBLIC TRANSIT & SENIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-472-1552
Mailing Address - Street 1:728 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REDFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57469-1128
Mailing Address - Country:US
Mailing Address - Phone:605-472-1552
Mailing Address - Fax:605-472-2069
Practice Address - Street 1:728 SOUTH MAIN STR.
Practice Address - Street 2:
Practice Address - City:REDFIELD
Practice Address - State:SD
Practice Address - Zip Code:57469-1128
Practice Address - Country:US
Practice Address - Phone:605-472-1552
Practice Address - Fax:605-472-2069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMT-113343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9030510Medicaid