Douglas County Memorial Hospital
Organization Active NPI Public Health or Welfare Agency · Armour, SD
NPI 1104809219 · NPPES record last updated Oct 23, 2009
Key facts
- NPI
- 1104809219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- DOUGLAS COUNTY MEMORIAL HOSPITAL
- Practice address
- 708 8TH St
Armour, SD 57313-2102 - Phone
- (605) 724-2159
- Fax
- (605) 724-2310
- NPI assigned
- Nov 22, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- DOUGLAS COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Heath Brouwer
- Title
- Administrator
- Phone
- (605) 724-2159
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 10
Practitioners 9
-
Jennifer L Bietz, PA-C
-
Jeffrey Lee Konstanz, PA-C
-
Vanessa L Miiller, PA-C
-
Nakayla Lea Pheifer, CNP
-
Travis M Sanger, MD
-
Janice Marie Schuman, PA-C,, RN
-
Amber K Wolter, PAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Prairie Health Clinic Stickney |
Rural health clinic | Operational/Managerial Control | Apr 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610000808 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810889771 | Practice locations: Armour, SD |
National Provider Directory
- Tax ID family
- Douglas County Memorial Hospital
- Part of
- Douglas County Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
708 8TH St
Armour, SD 57313-2102
Mailing address
708 8TH St
Armour, SD 57313-2102
Phone (605) 724-2159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5102060 | Medicaid | SD |
Other names
- DOUGLAS COUNTY COMMUNITY HEALTH
Other providers in Armour, SD
- Armour Care and Rehabilitation Center LLC
- Armour Dental PLC
- Armour SD Skilled Nursing Facility LLC
- Jennifer L Bietz
- Douglas County Ambulance Association
- Douglas County Memorial Hospital
- Douglas County Memorial Hospital
- Douglas County Memorial Hospital
- Douglas County Memorial Hospital
- Douglas County Memorial Hospital
All providers in Armour, SD · Public Health or Welfare Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.