PIONEER MEMORIAL HOSPITAL &HEALTH SERVICES NPI 1528017662

NPI Information

NPI: 1528017662
Provider Name: PIONEER MEMORIAL HOSPITAL &HEALTH SERVICES

Doing Business As: CENTERVILLE MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
512 BROADWAY
CENTERVILLE, SD
ZIP 57014
Phone: (605) 563-2411
Get Directions

PIONEER MEMORIAL HOSPITAL &HEALTH SERVICES is a rural health clinic center in Centerville, SD. PIONEER MEMORIAL HOSPITAL &HEALTH SERVICES NPI is 1528017662. The provider is registered as an organization entity type.
The provider Is Doing Business As Centerville Medical Clinic.

The provider's business location address is:

512 BROADWAY
CENTERVILLE, SD
ZIP 57014-070
Phone: (605) 563-2411
Fax: (605) 563-2060

The provider's authorized official is Georgia Pokorney .
The authorized official title is Chief Executive Officer and has the following contact phone number (605) 326-5161.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 1/4/2012.

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
1	261QR1300X	Clinic/Center	Rural Health		SOUTH DAKOTA	Yes

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
1	433830	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
2	4993935	OTHER	SOUTH DAKOTA	BLUE CROSS BLUE SHIELD
3	5340280	MEDICAID	SOUTH DAKOTA
4	433428	MEDICARE OSCAR/CERTIFICATION	SOUTH 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »