Active NPI
Eureka Community & Benevolent Hospital
- Medicare Defined Swing Bed Hospital Unit
- Eureka, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- EUREKA COMMUNITY & BENEVOLENT HOSPITAL
- Practice address
- 200 J Ave
Eureka, SD 57437 - Phone
- (605) 284-2661
- NPI assigned
- Oct 25, 2006
- Last updated
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Mae Raile
- Title
- Him/Credentialing
- Phone
- (605) 284-2661
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | NU | ||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | SD | Primary |
Addresses
Primary practice location
200 J Ave
Eureka, SD 57437
Mailing address
PO Box 517
Eureka, SD 57437-0517
Other practice location 1
200 J Ave
Eureka, SD 57437-2225
Phone (605) 284-2661
Other practice location 2
410 9th St
Eureka, SD 57437-0517
Phone (605) 284-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070129000653 | SD | Part A Provider - Critical Access Hospital | 5698711653 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eureka, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194809210. Details of each certification follow.
Hospital certification: CCN 43Z308
- Legal name
- EUREKA COMMUNITY & BENEVOLENT HOSPITAL
- Doing business as
- EUREKA COMMUNITY HEALTH SERVICES
- Organization structure
- Corporation
- Incorporated
- Jan 23, 1928 in SD
- Enrollment address
- 200 J Ave
Eureka, SD 57437-2225
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Critical Access Hospital
- Eureka, SD
- NPI 1629152749
Unit of hospital
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital
- Eureka, SD
- NPI 1629152749
O20070129000653
National Provider Directory
National Provider Directory- Tax ID family
- Eureka Community Benevolent Hospital Association
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Eureka Community Health Services
- Critical Access Hospital
- Eureka, SD
- NPI 1013002286
-
dba Eureka Medical Clinic Avera
- Clinic/Center
- Eureka, SD
- NPI 1215575097
-
dba Eureka Community Health Services/Avera
- Critical Access Hospital
- Eureka, SD
- NPI 1245478205
-
- Critical Access Hospital
- Eureka, SD
- NPI 1629152749
-
- Critical Access Hospital
- Eureka, SD
- NPI 1417311440
-
- Critical Access Hospital
- Eureka, SD
- NPI 1386739563
-
- Critical Access Hospital
- Eureka, SD
- NPI 1417047408
-
- Critical Access Hospital
- Eureka, SD
- NPI 1427148410
-
- Critical Access Hospital
- Eureka, SD
- NPI 1699865683
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kathryn M Gab | Corporate Director | Jan 26, 2010 | |
| Keith a Kramlich | Corporate Director | Aug 28, 2007 | |
| Carmen Louise Weber | Operational/Managerial Control | Jul 1, 2013 | 50% |
| Wayne a Lutz | Corporate Director | Sep 12, 2005 | |
| Avera St Lukes | Operational/Managerial Control | Aug 13, 1996 | 25% |
| Patricia L Grenz | Corporate Director | May 27, 2008 | |
| George B Hulscher | Corporate Director | Aug 24, 2010 | |
| Wanda J Jundt | Corporate Director | Aug 25, 2009 | |
| Stephanie M Raile | W-2 Managing Employee | Aug 1, 2016 | |
| Joyce M Schwingler | W-2 Managing Employee | Feb 27, 2007 | |
| Operational/Managerial Control | Feb 27, 2007 | ||
| Staci Leigh Ackerman | Corporate Director | Nov 1, 2022 |
Owners & managing parties with NPI records 12
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Aberdeen, SD
- NPI 1649221664
Operational/Managerial Control
-
dba Avera St Lukes Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Aberdeen, SD
- NPI 1013968940
Operational/Managerial Control
-
dba Avera Mother Joseph Manor
- Skilled Nursing Facility
- Aberdeen, SD
- NPI 1386693430
Operational/Managerial Control
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
Operational/Managerial Control
-
dba Avera Plaza Pharmacy
- Pharmacy
- Aberdeen, SD
- NPI 1801534045
Operational/Managerial Control
-
dba Avera Aberdeen Family Physicians
- Family Medicine Physician
- Aberdeen, SD
- NPI 1013143296
Operational/Managerial Control
-
dba Avera Medical Group Orthopedic Surgery Specialists
- Orthopaedic Surgery Physician
- Aberdeen, SD
- NPI 1124459391
Operational/Managerial Control
-
dba Avera Internal Medicine Aberdeen
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
Operational/Managerial Control
-
dba Avera Medical Group Radiology Aberdeen
- Diagnostic Radiology Physician
- Aberdeen, SD
- NPI 1437192721
Operational/Managerial Control
-
dba Avera Eureka Health Care Center
- Skilled Nursing Facility
- Eureka, SD
- NPI 1144206020
Operational/Managerial Control
-
dba Avera Clinic of Ellendale
- Rural Health Clinic/Center
- Ellendale, ND
- NPI 1760423057
Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1194809210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 517",
"city": "EUREKA",
"state": "SD",
"postal_code": "574370517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 J AVE",
"city": "EUREKA",
"state": "SD",
"postal_code": "57437",
"telephone_number": "605-284-2661"
}
],
"practiceLocations": [
{
"address_1": "200 J Ave",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "SD",
"postal_code": "574372225",
"country_code": "US",
"telephone_number": "605-284-2661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 9th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "SD",
"postal_code": "574370517",
"country_code": "US",
"telephone_number": "605-284-2661",
"fax_number": "605-284-2054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EUREKA COMMUNITY & BENEVOLENT HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "RAILE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "HIM/CREDENTIALING",
"authorized_official_telephone_number": "605-284-2661"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "SD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, SD
- Dakota Caring Companions LLC (Dakota Caring Companions)
- Brianna Lee Dalchow, PA-C
- Eureka Ambulance Service
- Eureka Chiropractic Clinic, Prof LLC
- Eureka Community & Benevolent Hospital (Eureka Community Health Services)
- Eureka Community & Benevolent Hospital (Eureka Medical Clinic Avera)
- Eureka Community & Benevolent Hospital (Eureka Community Health Services/Avera)
- Eureka Community & Benevolent Hospital
- Eureka Community & Benevolent Hospital
- Eureka Community & Benevolent Hospital (Eureka Community Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.