| NPI | 1114675089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYN MUNSON VP Revenue Cycle Operations 605-328-6585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-07-18 |