NPIMap

Organization Active NPI

Eureka Community & Benevolent Hospital

  • Critical Access Hospital
  • Eureka, SD
National Provider Identifier
1245478205
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10538 Issued in SD
Legal business name
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
Practice address
410 9TH St
Eureka, SD 57437-2182
Phone
(605) 284-2661
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mrs. Bonnie L Serr
Title
Business Manager
Phone
(605) 284-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10538 SD Primary

Addresses

Primary practice location

410 9TH St
Eureka, SD 57437-2182

Mailing address

410 9TH St
Eureka, SD 57437-2182
Phone (605) 284-2661

Other identifiers 1

IdentifierTypeStateIssuer
5102110MedicaidSD

Other names 1

  • Eureka Community Health Services/Avera Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eureka Community Benevolen10 organizations share this tax ID, including this one

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": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1245478205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 9TH ST",
            "city": "EUREKA",
            "state": "SD",
            "postal_code": "574372182",
            "telephone_number": "605-284-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 9TH ST",
            "city": "EUREKA",
            "state": "SD",
            "postal_code": "574372182",
            "telephone_number": "605-284-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA COMMUNITY & BENEVOLENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "SERR",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-284-2661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "10538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Community Health Services/Avera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.