NPIMap

Organization Active NPI

Philip Health Services, Inc.

Doing business as Hans P Peterson Memorial Hospital

  • Critical Access Hospital
  • Philip, SD
National Provider Identifier
1750300646
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10555 Issued in SD
Legal business name
PHILIP HEALTH SERVICES, INC.
Doing business as
Hans P Peterson Memorial Hospital
Practice address
503 W Pine St
Philip, SD 57567-3300
Phone
(605) 859-2511
Fax
(605) 859-3506
NPI assigned
Jul 19, 2006
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Maureen Cadwell
Title
Ceo
Phone
(605) 859-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10555 SD Primary

Addresses

Primary practice location

503 W Pine St
Philip, SD 57567-3300

Mailing address

503 W Pine St
Philip, SD 57567-3300
Phone (605) 859-2511

Other identifiers 5

IdentifierTypeStateIssuer
5500560MedicaidSD
0100560MedicaidSD
8Z319OtherSDBCBS #
80906OtherSDBCBS #
81319OtherSDBCBS #

Other names 1

  • Hans P Peterson Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825001142 SD Part A Provider - Critical Access Hospital 7214831866 Receives reassigned benefits from 6 practitioners
Practice locations: Philip, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750300646. Details of each certification follow.

Hospital certification: CCN 431319

Legal name
PHILIP HEALTH SERVICES INC
Doing business as
HANS P PETERSON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Sep 1, 2022
Beds
18
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 12, 1981 in SD
Enrollment address
503 W Pine St
Philip, SD 57567-3300
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hans P Peterson Memorial Hospital - CahCCN 431319 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
G J Mangulis MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Maureen K Cadwell Individual Contracted Managing EmployeeCeo Mar 27, 2023 100%
Corporate Officer Mar 27, 2023
Ray Smith Individual Corporate OfficerVice Chairman Apr 30, 2023
Thor Klima Roseth Individual Corporate Director Apr 25, 2024
Rita Mary O'Connell Individual Corporate Director May 1, 2002
Christy Willert Individual Corporate Director Apr 25, 2024
Monument Health Network Inc Organization, Rapid City, SD Corporation, Non-profit Operational/Managerial Control Oct 1, 2011
Michael Vetter Individual Corporate Director Apr 24, 2025
Trisha Larson Individual Corporate Director Apr 24, 2025
Daniel J Rush Individual Corporate Director Apr 28, 2017

Owners & managing parties with NPI records 12

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kadoka ClinicKadoka, SD, CCN 433424 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 1, 1982
Jun 1, 1982

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1750300646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2511",
            "fax_number": "605-859-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2511",
            "fax_number": "605-859-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-859-2511"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "10555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500560",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100560",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "8Z319",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "80906",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "81319",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hans P Peterson Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philip, SD

Sources for this page

Verify at the official NPI Registry.