NPIMap

Organization Active NPI

Eureka Community Benevolent Hospital Association

  • Critical Access Hospital
  • Eureka, SD
National Provider Identifier
1386739563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
282NC0060X Issued in SD
Legal business name
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
Practice address
401 9TH St
Eureka, SD 57437-0517
Phone
(605) 208-2661
Fax
(605) 284-2054
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

401 9TH St
Eureka, SD 57437-0517

Mailing address

PO Box 517
401 9TH St
Eureka, SD 57437-0517
Phone (605) 208-2661

Other identifiers 4

IdentifierTypeStateIssuer
5102110MedicaidSD
5500620MedicaidSD
9571660MedicaidSD
0100620MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Eureka Community Benevolent Hospital Association10 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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386739563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "address_2": "401 9TH ST",
            "city": "EUREKA",
            "state": "SD",
            "postal_code": "574370517",
            "telephone_number": "605-208-2661",
            "fax_number": "605-284-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 9TH ST",
            "city": "EUREKA",
            "state": "SD",
            "postal_code": "574370517",
            "telephone_number": "605-208-2661",
            "fax_number": "605-284-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERR",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS OFFICE 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": "282NC0060X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102110",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500620",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571660",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100620",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.