NPIMap

Organization Active NPI

Freeman Regional Health Services

  • Custodial Care Facility
  • Freeman, SD
National Provider Identifier
1063509982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
FREEMAN REGIONAL HEALTH SERVICES
Practice address
510 East 8TH St
Freeman, SD 57029
Phone
(605) 925-4000
Fax
(605) 925-2137
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Miller
Title
Cfo
Phone
(605) 925-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X SD Primary

Addresses

Primary practice location

510 East 8TH St
Freeman, SD 57029

Mailing address

510 East 8TH St
PO Box 370
Freeman, SD 57029
Phone (605) 925-4000

Other identifiers 1

IdentifierTypeStateIssuer
9540200MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Freeman Comm Hosp Ekg S7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063509982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 EAST 8TH ST",
            "address_2": "PO BOX 370",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "57029",
            "telephone_number": "605-925-4000",
            "fax_number": "605-925-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 EAST 8TH ST",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "57029",
            "telephone_number": "605-925-4000",
            "fax_number": "605-925-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-925-2112"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9540200",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeman, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.