NPIMap

Organization Active NPI

Landmann Jungman Memorial Hospital Corporation

Doing business as Scotland Medical Clinic

  • Clinic/Center
  • Scotland, SD
National Provider Identifier
1649321407
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10561 Issued in SD
Legal business name
LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION
Doing business as
Scotland Medical Clinic
Practice address
610 Billars St
Scotland, SD 57059-2026
Phone
(605) 583-2227
NPI assigned
Jan 16, 2007
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Melissa Gale
Title
Ceo
Phone
(605) 583-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10561 SD Primary

Addresses

Primary practice location

610 Billars St
Scotland, SD 57059-2026

Mailing address

610 Billars St
Scotland, SD 57059-2026
Phone (605) 583-2227

Other names 1

  • Scotland Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008001072 SD Part B Supplier - Clinic/Group Practice 2961461421 Receives reassigned benefits from 21 practitioners
Practice locations: Scotland, SD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

610 Billars St
Scotland, SD 57059
Phone (605) 583-2226

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Landmann Jungman Memorial Hospital CorporationScotland, SD, CCN 430779 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1996
Sep 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1649321407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BILLARS ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592026",
            "telephone_number": "605-583-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-583-2226"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotland Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scotland Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotland, SD

Sources for this page

Verify at the official NPI Registry.