Provider Demographics
NPI:1962620260
Name:WHETSTONE VALLEY ELECTRIC COOPERATIVE
Entity type:Organization
Organization Name:WHETSTONE VALLEY ELECTRIC COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-432-5331
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:MILBANK
Mailing Address - State:SD
Mailing Address - Zip Code:57252-0512
Mailing Address - Country:US
Mailing Address - Phone:605-432-5331
Mailing Address - Fax:605-432-5951
Practice Address - Street 1:1101 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:MILBANK
Practice Address - State:SD
Practice Address - Zip Code:57252-0512
Practice Address - Country:US
Practice Address - Phone:605-432-5331
Practice Address - Fax:605-432-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD17902090Medicaid
SD9560340Medicaid