Provider Demographics
NPI:1215275151
Name:EAST DAKOTA TRANSIT, INC
Entity type:Organization
Organization Name:EAST DAKOTA TRANSIT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ICAP DEPUTY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLEEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEERHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-256-6518
Mailing Address - Street 1:111 N VAN EPS AVE
Mailing Address - Street 2:PO BOX 199
Mailing Address - City:MADISON
Mailing Address - State:SD
Mailing Address - Zip Code:57042-2800
Mailing Address - Country:US
Mailing Address - Phone:605-256-6518
Mailing Address - Fax:
Practice Address - Street 1:111 N VAN EPS AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:SD
Practice Address - Zip Code:57042-2800
Practice Address - Country:US
Practice Address - Phone:605-256-6518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMT327347B00000X
SDMT326347B00000X
SDMT349347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus