Coteau Des Prairies Hospital, Inc
Organization Active NPI Clinic/Center · Wilmot, SD
NPI 1700925153 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1700925153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- COTEAU DES PRAIRIES HOSPITAL, INC
- Practice address
- 409 4TH St
Wilmot, SD 57279-2214 - Phone
- (605) 938-4351
- Fax
- (605) 938-4481
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Craig Kantos
- Title
- Administrator Ceo
- Phone
- (605) 698-7647
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Coteau Des Prairies Hos
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
409 4TH St
Wilmot, SD 57279-2214
Mailing address
205 Orchard Dr
Sisseton, SD 57262-2312
Phone (605) 698-7647
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05160 | Medicaid | ND | |
| 3070116201 | Other | PRIMEWEST | |
| 0030064 | Other | BLUE CROSS |
Other names
- COUTEAU DES PRIAIRES HOSPITAL & CLINIC WILMOT
Other providers in Wilmot, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.