NPIMap

Organization Active NPI

Faulkton Area Medical Center

  • General Acute Care Hospital
  • Faulkton, SD
National Provider Identifier
1245212877
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10539 Issued in SD
Legal business name
FAULKTON AREA MEDICAL CENTER
Practice address
1300 Oak St
Faulkton, SD 57438-2149
Phone
(605) 598-6262
Fax
(605) 598-4186
NPI assigned
Nov 18, 2005
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Blythe K Smith
Title
Credentialing
Phone
(605) 598-6262

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10539 SD
General Acute Care Hospital 282N00000X 10539 SD Primary
Critical Access Hospital 282NC0060X NU

Addresses

Primary practice location

1300 Oak St
Faulkton, SD 57438-2149

Mailing address

PO Box 100
1300 Oak Street
Faulkton, SD 57438-0100
Phone (605) 598-6262

Other identifiers 3

IdentifierTypeStateIssuer
0100210MedicaidSD
5500210MedicaidSD
0159250MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420001115 SD Part B Supplier - Clinic/Group Practice 4880505866 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Faulkton, SD
O20061104000228 SD Part A Provider - Critical Access Hospital 4880505866 Receives reassigned benefits from 8 practitioners
Practice locations: Faulkton, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245212877. Details of each certification follow.

Hospital certification: CCN 431301

Legal name
FAULKTON AREA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 8, 1993
Last certification
Aug 7, 2024
Beds
12
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1984 in SD
Enrollment address
1300 Oak St
Faulkton, SD 57438-2149

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Faulkton Area Medical CenterCCN 431301 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Faulk County Memorial H3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

NameRoleSinceShare
Blythe Smith Individual W-2 Managing EmployeeCredentialing Manager Nov 8, 2010
John Miller Individual Corporate Director Oct 19, 2017
Ryan Melius Individual Corporate OfficerBoard Chair Mar 16, 2023
Corporate Director Mar 21, 2019
Sylvia M Anderson Individual Corporate Director Aug 23, 2018
W-2 Managing Employee Aug 21, 2006
Faulkton Area Medical Center Organization, Faulkton, SD Non-profit Operational/Managerial Control Apr 3, 1984
Emily Bauer Individual Corporate OfficerChief Financial Officer Jan 2, 2026
W-2 Managing EmployeeChief Financial Officer Jan 2, 2026
Operational/Managerial ControlChief Financial Officer Jan 2, 2026
Jami Huss Individual Corporate Director Apr 20, 2023
James Slunecka Individual Corporate OfficerVice Chair Mar 16, 2023
Corporate Director Mar 18, 2021
Catherine L Frisko-Holsing Individual Corporate Director Mar 20, 2024
Gene Holt Individual Corporate Director Jan 20, 2022
Heather Bode Individual W-2 Managing EmployeeCeo Jul 1, 2019
Operational/Managerial ControlCeo Jul 1, 2019

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Faulkton Area Medical CenterFaulkton, SD, CCN 43Z301 Hospital Operational/Managerial Control Apr 3, 1984
Faulkton Medical ClinicFaulkton, SD, CCN 433401 Rural health clinic Operational/Managerial Control Apr 3, 1984

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1245212877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "1300 OAK STREET",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574380100",
            "telephone_number": "605-598-6262",
            "fax_number": "605-598-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OAK ST",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574382149",
            "telephone_number": "605-598-6262",
            "fax_number": "605-598-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULKTON AREA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "605-598-6262"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SD",
            "license": "10539",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SD",
            "license": "10539",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100210",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500210",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159250",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faulkton, SD

Sources for this page

Verify at the official NPI Registry.