Active NPI
VA Hospital
- Nursing Facility/Intermediate Care Facility
- Baltic, SD
National Provider Identifier
1306029137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- VA HOSPITAL
- Practice address
- 532 Aana Ave
Baltic, SD 57003-2033 - Phone
- (605) 529-6505
- NPI assigned
- Dec 15, 2007
- 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
- Pat Moschell
- Title
- HR
- Phone
- (605) 333-6852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
532 Aana Ave
Baltic, SD 57003-2033
Mailing address
532 Aana Ave
Baltic, SD 57003-2033
Phone (605) 333-6852
National Provider Directory
National Provider Directory- Tax ID family
- Tara Littlejohn Gonzales MD - Arbor Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197676800000",
"number": "1306029137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 AANA AVE",
"city": "BALTIC",
"state": "SD",
"postal_code": "570032033",
"telephone_number": "605-333-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 AANA AVE",
"city": "BALTIC",
"state": "SD",
"postal_code": "570032033",
"telephone_number": "605-529-6505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-15",
"last_updated": "2007-12-15",
"status": "A",
"authorized_official_last_name": "MOSCHELL",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "HR",
"authorized_official_telephone_number": "605-333-6852"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltic, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.