NPIMap

Organization Active NPI

Pioneer Memorial Hospital & Health Services

Doing business as Viborg Medical Clinic

  • Primary Care Clinic/Center
  • Viborg, SD
National Provider Identifier
1386834661
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Doing business as
Viborg Medical Clinic
Practice address
103 W Pioneer
Viborg, SD 57070-0337
Phone
(605) 326-5201
Fax
(605) 326-5196
NPI assigned
Aug 1, 2007
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Georgia Pokorney
Title
Ceo
Phone
(605) 326-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X SD Primary

Addresses

Primary practice location

103 W Pioneer
Viborg, SD 57070-0337

Mailing address

PO Box 337
Viborg, SD 57070-0337
Phone (605) 326-5201

Other identifiers 1

IdentifierTypeStateIssuer
0000085OtherSDSD BLUE SHIELD

Other names 1

  • Viborg Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Memorial Hospital10 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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1386834661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700337",
            "telephone_number": "605-326-5201",
            "fax_number": "605-326-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PIONEER",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700337",
            "telephone_number": "605-326-5201",
            "fax_number": "605-326-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "POKORNEY",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-326-5161"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE SHIELD",
            "identifier": "0000085",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viborg Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.