Provider Demographics
NPI:1841089075
Name:YOUNG, RALPH F JR (NRP)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:F
Last Name:YOUNG
Suffix:JR
Gender:
Credentials:NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 689
Mailing Address - Street 2:
Mailing Address - City:ROSEBUD
Mailing Address - State:SD
Mailing Address - Zip Code:57570-0689
Mailing Address - Country:US
Mailing Address - Phone:605-828-1207
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 689
Practice Address - Street 2:
Practice Address - City:ROSEBUD
Practice Address - State:SD
Practice Address - Zip Code:57570-0689
Practice Address - Country:US
Practice Address - Phone:605-828-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)