Ann M Host, MES, PRP
Individual provider Active NPI Specialist · Murdo, SD
NPI 1013149681 · NPPES record last updated Aug 17, 2009
Key facts
- NPI
- 1013149681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 5AP15-98 (CA)
- Practice address
- 404 Jackson Ave
Murdo, SD 57559 - Phone
- (605) 530-0544
- Fax
- (605) 669-2102
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5AP15-98 | CA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5AP15-98 | CA | Yes |
Addresses
Primary practice location
404 Jackson Ave
Murdo, SD 57559
Mailing address
PO Box 152
Murdo, SD 57559-0152
Phone (605) 530-0544
Other providers in Murdo, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.