NPIMap

Organization Active NPI

Douglas County Memorial Hospital

  • Emergency Response System Companies
  • Armour, SD
National Provider Identifier
1255501227
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
License
10526 Issued in SD
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
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Heath Brouwer
Title
Adminsitrator
Phone
(605) 724-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Response System Companies 333300000X 10526 SD Primary

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 2

IdentifierTypeStateIssuer
13503270MedicaidSD
9560180MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Prairie Health Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1255501227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 8TH ST",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132102",
            "telephone_number": "605-724-2159",
            "fax_number": "605-724-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 8TH ST",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132102",
            "telephone_number": "605-724-2159",
            "fax_number": "605-724-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "BROUWER",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "605-724-2159"
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "SD",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13503270",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9560180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Armour, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.