Clay Union Electric Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLAY UNION ELECTRIC CORP.

Practice address

1410 E Cherry St
Vermillion, SD 57069-1607

Phone

(605) 624-2673

Fax

(605) 624-5526

NPI assigned

Mar 16, 2007

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Bottolfson

Title

Business Manager

Phone

(605) 624-2673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1790819928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570690317",
            "telephone_number": "605-624-2673",
            "fax_number": "605-624-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691607",
            "telephone_number": "605-624-2673",
            "fax_number": "605-624-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY UNION ELECTRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BOTTOLFSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-624-2673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9560090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakotah Carda, AU.D.
• Joseph Allen Carroll, ATC, LAT, HGP-1
• Sophia Chun Chao, DPT
• Michelle A Chaussee, PA-C
• City of Vermillion (Vermillion/Clay County EMS)
• Tammy Dee Clodfelter, ED.S, NCSP
• Carly Cooper
• Kaleb Crownover, PHARMD
• Mark C Daniels, PH.D.
• Davis Pharmacy Inc (Davis Pharmacy)

• Durable Medical Equipment & Medical Supplies in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Durable Medical Equipment & Medical Supplies in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.