Active NPI
Regional Health Network Inc.
- Home Delivered Meals
- Deadwood, SD
National Provider Identifier
1275945222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- License
- 10535
- Legal business name
- REGIONAL HEALTH NETWORK INC.
- Practice address
- 61 Charles St
Deadwood, SD 57732-1303 - Phone
- (605) 722-6101
- Fax
- (605) 719-6133
- NPI assigned
- May 27, 2014
- 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
- Timothy H Sughrue
- Title
- Chief Executive Officer
- Phone
- (605) 755-8162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | 10535 | SD | Primary |
Addresses
Primary practice location
61 Charles St
Deadwood, SD 57732-1303
Mailing address
PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 722-6101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100040 | Medicaid | SD | |
| 10535 | Other | SD | SD LICENSE |
Other names 1
- Lead Deadwood Regional Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Family Medical Center M
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1275945222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860013",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860013",
"telephone_number": "605-722-6101",
"fax_number": "605-719-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CHARLES ST",
"city": "DEADWOOD",
"state": "SD",
"postal_code": "577321303",
"telephone_number": "605-722-6101",
"fax_number": "605-719-6133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL HEALTH NETWORK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "SUGHRUE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "605-755-8162"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "SD",
"license": "10535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100040",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD LICENSE",
"identifier": "10535",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lead Deadwood Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deadwood, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.