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DOUGLAS COUNTY MEMORIAL HOSPITAL NPI 1174516124


NPI Information

NPI: 1174516124
Provider Name: DOUGLAS COUNTY MEMORIAL HOSPITAL

Doing Business As: PRAIRIE HEALTH CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 43D0684241

Address:
708 8TH ST
ARMOUR, SD
ZIP 57313
Phone: (605) 724-2151
Get Directions

DOUGLAS COUNTY MEMORIAL HOSPITAL is a clinic center in Armour, SD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DOUGLAS COUNTY MEMORIAL HOSPITAL NPI is 1174516124. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Health Clinic.

The provider's business location address is:

708 8TH ST
ARMOUR, SD
ZIP 57313-102
Phone: (605) 724-2151
Fax: (605) 724-2310

The provider's authorized official is Nicole J Neugebauer .
The authorized official title is Clinic Office Manager and has the following contact phone number (605) 724-2151.

The CLIA number assigned to this NPI record is 43D0684241 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1433402MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
25300600MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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