NPIMap

Organization Active NPI

Coteau Des Prairies Hospital

Doing business as Coteau des Prairies Health Care System Rosholt Clinic

  • Family Medicine Physician
  • Sisseton, SD
National Provider Identifier
1164810933
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60020 Issued in SD
Legal business name
COTEAU DES PRAIRIES HOSPITAL
Doing business as
Coteau des Prairies Health Care System Rosholt Clinic
Practice address
205 Orchard Drive
Sisseton, SD 57262-2398
Phone
(605) 698-7647
Fax
(605) 698-4626
NPI assigned
Jan 2, 2015
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Craig Kantos
Title
Ceo
Phone
(605) 698-7647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60020 SD Primary

Addresses

Primary practice location

205 Orchard Drive
Sisseton, SD 57262-2398

Mailing address

205 Orchard Drive
Sisseton, SD 57262-2398
Phone (605) 698-7647

Other identifiers 1

IdentifierTypeStateIssuer
5160MedicaidND

Other names 1

  • Coteau des Prairies Health Care System Rosholt Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Browns Valley Clinic7 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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1164810933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DRIVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622398",
            "telephone_number": "605-698-7647",
            "fax_number": "605-698-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DRIVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622398",
            "telephone_number": "605-698-7647",
            "fax_number": "605-698-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTEAU DES PRAIRIES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KANTOS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-698-7647"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "60020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coteau des Prairies Health Care System Rosholt Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.