NPIMap

Organization Active NPI

St. Michael'S Hospital, Inc.

  • Critical Access Hospital
  • Tyndall, SD
National Provider Identifier
1720022445
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
48584 Issued in SD
Legal business name
ST. MICHAEL'S HOSPITAL, INC.
Practice address
410 W 16TH Ave
Tyndall, SD 57066-2318
Phone
(605) 589-2100
Fax
(605) 589-2115
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Ashli Danilko
Title
Chief Executive Officer
Phone
(605) 589-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 48584 SD Primary

Addresses

Primary practice location

410 W 16TH Ave
Tyndall, SD 57066-2318

Mailing address

410 W 16TH Ave
Tyndall, SD 57066-2318
Phone (605) 589-2100

Other identifiers 2

IdentifierTypeStateIssuer
8Z327OtherSDSKILLED SWINGBED CAH BCBS
0159160MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101007000308 SD Part A Provider - Critical Access Hospital 2668380262 Practice locations: Tyndall, SD

Hospital certification: CCN 43Z327

Legal name
ST MICHAEL'S HOSPITAL, INC.
Organization structure
CorporationNon-profit
Incorporated
Jun 17, 1966 in SD
Enrollment address
410 W 16TH Ave
Tyndall, SD 57066-2318
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
St Michaels Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Connie Tjeerdsma Individual Corporate DirectorBoard Member Dec 2, 2020
Ashli Danilko Individual Corporate OfficerBoard Appointed Ceo Sep 12, 2020 100%
Austin Koch Individual Corporate DirectorBoard Member Dec 2, 2020
St Michael'S Hospital, Inc. Organization, Tyndall, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Steven R Green Individual Corporate DirectorBoard Member Jan 29, 2025
James Torsney Individual Corporate DirectorBoard Member Dec 1, 2021
Sacred Heart Health Services Organization, Yankton, SD Management services company, Non-profit Operational/Managerial Control Mar 1, 2001
Laurie Jurrens Individual Corporate DirectorBoard Member Nov 22, 2016
Benjamin Hellmann Individual Corporate DirectorBoard Member Jan 25, 2023
Joseph T Forcelle Individual Corporate DirectorBoard Member Nov 28, 2011
Lisa Ronke Individual W-2 Managing Employee Mar 1, 2012

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
St Michael'S Hospital, Inc.Tyndall, SD, CCN 431327 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Bon Homme Family PracticeAvon, SD, CCN 433418 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2002
Bon Homme Family PracticeTyndall, SD, CCN 433416 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2002

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1720022445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-2100",
            "fax_number": "605-589-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-2100",
            "fax_number": "605-589-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "DANILKO",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-589-2152"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "48584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED SWINGBED CAH BCBS",
            "identifier": "8Z327",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall, SD

Sources for this page

Verify at the official NPI Registry.