Provider Demographics
NPI:1962107805
Name:RURAL OFFICE OF COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:RURAL OFFICE OF COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-384-3883
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:WAGNER
Mailing Address - State:SD
Mailing Address - Zip Code:57380-0547
Mailing Address - Country:US
Mailing Address - Phone:605-384-3883
Mailing Address - Fax:605-384-3737
Practice Address - Street 1:106 WEST AVE SW
Practice Address - Street 2:
Practice Address - City:WAGNER
Practice Address - State:SD
Practice Address - Zip Code:57380-9630
Practice Address - Country:US
Practice Address - Phone:605-384-3883
Practice Address - Fax:605-384-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty