Coteau Des Prairies Hospital, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COTEAU DES PRAIRIES HOSPITAL, INC.

Doing business as

Coteau Des Prairies Wilmot Clinic

Practice address

409 4TH St
Wilmot, SD 57279-2214

Phone

(605) 938-4351

Fax

(605) 938-4481

NPI assigned

Jan 26, 2007

Last updated

Aug 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Kantos

Title

Administrator, Ceo

Phone

(605) 698-7647

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• COTEAU DES PRAIRIES WILMOT CLINIC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Coteau Des Prairies Hospital

  dba Coteau des Prairies Health Care System

  • Rural Health Clinic/Center
  • Sisseton, SD
  • NPI 1881740629

  Member Of

  NPD member

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1710033220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622312",
            "telephone_number": "605-698-7681",
            "fax_number": "605-698-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 4TH ST",
            "city": "WILMOT",
            "state": "SD",
            "postal_code": "572792214",
            "telephone_number": "605-938-4351",
            "fax_number": "605-938-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTEAU DES PRAIRIES HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KANTOS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "605-698-7647"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5340230",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12440",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COTEAU DES PRAIRIES WILMOT CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Medical Group Wilmot)
• Coteau Des Prairies Hospital, Inc (Couteau Des Priaires Hospital & Clinic Wilmot)
• Amber Marie Herr, PHYSICAL THERAPIST A
• Susan Leddy, C.N.P
• Wilmot Care Center
• Wilmot Care Center
• Wilmot Care Center

• Rural Health Clinic/Center in Wilmot, SD
• Providers in Wilmot, SD by specialty
• Rural Health Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.