Provider Demographics
NPI:1386729762
Name:KREISERS INC
Entity type:Organization
Organization Name:KREISERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRAUPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-336-1155
Mailing Address - Street 1:2200 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6560
Mailing Address - Country:US
Mailing Address - Phone:605-336-1155
Mailing Address - Fax:605-336-1157
Practice Address - Street 1:2200 W 46TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6560
Practice Address - Country:US
Practice Address - Phone:605-336-1155
Practice Address - Fax:605-336-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9160030Medicaid
IA0126128Medicaid
SD0538240001OtherMEDICARE PTAN
SD0077001OtherBLUE CROSS BLUE SHIELD
MN119762200Medicaid
SD0077001OtherBLUE CROSS BLUE SHIELD