NPIMap

Organization Active NPI

Faulkton Area Medical Center

  • Rural Health Clinic/Center
  • Faulkton, SD
National Provider Identifier
1306828934
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X SD Primary

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 1

IdentifierTypeStateIssuer
5306900MedicaidSD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030926000005 SD Part A Provider - Rural Health Clinic 4880505866 Practice locations: Faulkton, SD
O20040420001115 SD Part B Supplier - Clinic/Group Practice 4880505866 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
Practice locations: Faulkton, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306828934. Details of each certification follow.

Rural health clinic certification: CCN 433401

Legal name
FAULKTON AREA MEDICAL CENTER
Doing business as
FAULKTON MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 11, 1998
Last certification
Nov 13, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1984 in SD
Enrollment address
1300 Oak St
Faulkton, SD 57438-2149
Related CCNs
431301

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.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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 Employee 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 Corporation 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 Officer Mar 20, 2024
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
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 431301 Hospital Operational/Managerial Control Apr 3, 1984
Faulkton Area Medical CenterFaulkton, SD, CCN 43Z301 Hospital 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 8

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.

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": "1784160000000",
    "number": "1306828934",
    "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": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "605-598-6262"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5306900",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faulkton, SD

Sources for this page

Verify at the official NPI Registry.