NPIMap

Organization Active NPI

Pioneer Memorial Hospital & Health Services

Doing business as Pioneer Inn Assisted Living

  • Assisted Living Facility
  • Viborg, SD
National Provider Identifier
1083728018
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11036 Issued in SD
Legal business name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Doing business as
Pioneer Inn Assisted Living
Practice address
315 N. Washington Street
Viborg, SD 57070-0368
Phone
(605) 326-5161
Fax
(605) 326-5734
NPI assigned
Aug 18, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Georgia Pokorney
Title
Ceo
Phone
(605) 326-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11036 SD Primary

Addresses

Primary practice location

315 N. Washington Street
Viborg, SD 57070-0368

Mailing address

PO Box 368
Viborg, SD 57070-0368
Phone (605) 326-5161

Other identifiers 1

IdentifierTypeStateIssuer
9570370MedicaidSD

Other names 1

  • Pioneer Inn Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Memorial Hosp10 organizations share this tax ID, including this one
Part of
Pioneer Memorial Hosp

Other organizations with this tax ID 9

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1083728018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700368",
            "telephone_number": "605-326-5161",
            "fax_number": "605-326-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N. WASHINGTON STREET",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700368",
            "telephone_number": "605-326-5161",
            "fax_number": "605-326-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "POKORNEY",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-326-5161"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570370",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Inn Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.