Wall Health Services, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WALL HEALTH SERVICES, INC.

Practice address

112 7TH Ave
Wall, SD 57790-0423

Phone

(605) 279-2149

Fax

(605) 279-2139

NPI assigned

Nov 17, 2005

Last updated

Mar 25, 2008By 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. Ester Johannesen

Title

Clinic Coordinator

Phone

(605) 279-2149

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wall Clinic Other name

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1063494789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "WALL",
            "state": "SD",
            "postal_code": "577900423",
            "telephone_number": "605-279-2149",
            "fax_number": "605-279-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 7TH AVE",
            "city": "WALL",
            "state": "SD",
            "postal_code": "577900423",
            "telephone_number": "605-279-2149",
            "fax_number": "605-279-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "JOHANNESEN",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "605-279-2149",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS # FOR WALL CLINIC",
            "identifier": "4999946",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5300040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regional Health Physicians Inc (Wall Regional Medical Clinic)
• Regional Health Physicians, Inc. (Wall Regional Medical Clinic)
• Regional Health Physicians, Inc. (Wall Regional Medical Clinic)
• Sylvia Ann Smith
• Wall Drug Store, Inc.
• Wall School District #51-5

• Rural Health Clinic/Center in Wall, SD
• Providers in Wall, SD by specialty
• Rural Health Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.