Provider Demographics
NPI:1013174325
Name:RURAL OFFICE OF COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:RURAL OFFICE OF COMMUNITY SERVICES INC
Other - Org Name:DAKOTA SENIOR MEALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-384-3883
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:WAGNER
Mailing Address - State:SD
Mailing Address - Zip Code:57380-0547
Mailing Address - Country:US
Mailing Address - Phone:605-384-3883
Mailing Address - Fax:605-384-3737
Practice Address - Street 1:106 WEST AVE SW
Practice Address - Street 2:
Practice Address - City:WAGNER
Practice Address - State:SD
Practice Address - Zip Code:57380-9630
Practice Address - Country:US
Practice Address - Phone:605-384-3883
Practice Address - Fax:605-384-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD332U00000X
343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9580270Medicare PIN