Provider Demographics
NPI:1184919623
Name:BON HOMME YANKTON ELECTRIC
Entity type:Organization
Organization Name:BON HOMME YANKTON ELECTRIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-463-2507
Mailing Address - Street 1:134 S LIDICE AVE
Mailing Address - Street 2:PO BOX 158
Mailing Address - City:TABOR
Mailing Address - State:SD
Mailing Address - Zip Code:57063-2069
Mailing Address - Country:US
Mailing Address - Phone:605-463-2507
Mailing Address - Fax:605-463-2419
Practice Address - Street 1:134 S LIDICE AVE
Practice Address - Street 2:
Practice Address - City:TABOR
Practice Address - State:SD
Practice Address - Zip Code:57063-2069
Practice Address - Country:US
Practice Address - Phone:605-463-2507
Practice Address - Fax:605-463-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies