Provider Demographics
NPI:1104081728
Name:CENTRAL ELECTRIC COOPERATIVE
Entity type:Organization
Organization Name:CENTRAL ELECTRIC COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CUSTOMER SERVICE REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:DEETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-996-7516
Mailing Address - Street 1:1420 N MAIN ST
Mailing Address - Street 2:PO BOX 850
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-1463
Mailing Address - Country:US
Mailing Address - Phone:605-996-7516
Mailing Address - Fax:606-996-0869
Practice Address - Street 1:1420 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-1463
Practice Address - Country:US
Practice Address - Phone:605-996-7516
Practice Address - Fax:606-996-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD9560450333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies