NPIMap

Organization Active NPI

Sturgis Nutrition Program

  • Voluntary or Charitable Agency
  • Spearfish, SD
National Provider Identifier
1104379205
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
STURGIS NUTRITION PROGRAM
Practice address
2015 Tumble Weed TRL
Spearfish, SD 57783-8810
Phone
(605) 642-6668
NPI assigned
Jul 26, 2016
Organization subpart
Yes
Parent organization
WEST RIVER TRANSIT AUTHORITY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rocky Rardon, MBANPI 1447703541
Title
Finance Director
Phone
(605) 342-6668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2015 Tumble Weed TRL
Spearfish, SD 57783-8810

Mailing address

2015 Tumble Weed TRL
Spearfish, SD 57783-8810
Phone (605) 642-6668

Other identifiers 1

IdentifierTypeStateIssuer
12803549OtherSDPROVIDER NO.

National Provider Directory

National Provider Directory
Tax ID family
Prairie Hills Meals Program3 organizations share this tax ID, including this one
Part of
Prairie Hills Meals Program

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1104379205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 TUMBLE WEED TRL",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577838810",
            "telephone_number": "605-642-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 TUMBLE WEED TRL",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577838810",
            "telephone_number": "605-642-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGIS NUTRITION PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST RIVER TRANSIT AUTHORITY, INC.",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "RARDON",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "605-342-6668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO.",
            "identifier": "12803549",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.