Provider Demographics
NPI:1891494514
Name:DAKOTA NON-MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:DAKOTA NON-MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SINZINKAYO
Authorized Official - Middle Name:N
Authorized Official - Last Name:ELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-323-9002
Mailing Address - Street 1:4329 N ALASKA AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-6825
Mailing Address - Country:US
Mailing Address - Phone:605-323-9002
Mailing Address - Fax:
Practice Address - Street 1:1200 E 3RD ST # 209
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-0901
Practice Address - Country:US
Practice Address - Phone:605-323-9002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD01253076Medicaid