Provider Demographics
NPI:1447831490
Name:CITY OF REDFIELD
Entity type:Organization
Organization Name:CITY OF REDFIELD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SJURSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-475-7401
Mailing Address - Street 1:PO BOX 590
Mailing Address - Street 2:
Mailing Address - City:REDFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57469-0590
Mailing Address - Country:US
Mailing Address - Phone:605-472-0510
Mailing Address - Fax:
Practice Address - Street 1:1010 W 1ST ST
Practice Address - Street 2:
Practice Address - City:REDFIELD
Practice Address - State:SD
Practice Address - Zip Code:57469-1502
Practice Address - Country:US
Practice Address - Phone:605-472-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF REDFIELD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-20
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center