NPIMap

Organization Active NPI

Fall River Health Services

  • Critical Access Hospital
  • Hot Springs, SD
National Provider Identifier
1790791366
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
47569 Issued in SD
Legal business name
FALL RIVER HEALTH SERVICES
Practice address
1201 Highway 71 South
Hot Springs, SD 57747-1374
Phone
(605) 745-3159
Fax
(605) 745-3957
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
John B Miller
Title
Administrator
Phone
(605) 745-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 47569 SD Primary

Addresses

Primary practice location

1201 Highway 71 South
Hot Springs, SD 57747-1374

Mailing address

1201 Highway 71 South
Hot Springs, SD 57747-1374
Phone (605) 745-3159

Other identifiers 2

IdentifierTypeStateIssuer
8Z322OtherSDWELLMARK
0159180MedicaidSD

Other names 1

  • FALL RIVER HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070125000489 SD Part A Provider - Critical Access Hospital 3678485075 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, SD

Hospital certification: CCN 43Z322

Legal name
FALL RIVER HEALTH SERVICES
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1998 in SD
Enrollment address
1201 Highway 71 South
Hot Springs, SD 57747
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Greater Fall River Clin6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Laura Tarrell Individual Corporate DirectorBoard Member Jan 1, 2021
Georgia Holmes Individual Corporate DirectorBoard Member Apr 1, 2011
Phil Wetzel Individual Corporate DirectorBoard Member Jan 1, 2021
Gary D Strauser Individual Corporate OfficerPresident Elect of the Board Dec 1, 1999
Corporate DirectorPresident Elect of the Board Dec 1, 1999
Anna Merrill Individual Corporate OfficerTreasurer of the Board Oct 1, 2001
Corporate DirectorTreasurer of the Board Oct 1, 2001
Fall River Health Services Organization, Hot Springs, SD Created for acquisition, Non-profit 5% Or Greater Security Interest Dec 1, 1999 100%
Operational/Managerial Control Dec 1, 1999
Nancy Nielsen Individual W-2 Managing EmployeeAccountant Dec 1, 1999
Barbara Miller Individual Corporate DirectorBoard Member Jan 1, 2021
Nicholle Gilbertson Individual Corporate OfficerCeo Aug 31, 2021
W-2 Managing EmployeeCeo Aug 31, 2021
Operational/Managerial ControlCeo Aug 31, 2021
Don Devries Individual Corporate DirectorBoard Past President Dec 1, 1999
Rich Nelson Individual Corporate DirectorPast President of the Board Nov 1, 2000
Kristine Ina Winter Individual Corporate DirectorBoard President Jan 1, 2021
Richard Olstad Individual Corporate OfficerPresident of the Board Nov 1, 2000
Corporate DirectorPresident of the Board Nov 1, 2000
Sally Ann Rall Individual Corporate DirectorBoard Member Jan 1, 2021
Jesse Naze Individual Corporate OfficerCfo Jan 15, 2015
Corporate DirectorBoard Member Jan 15, 2015
W-2 Managing EmployeeCfo Jan 15, 2015

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Fall River Health ServicesHot Springs, SD, CCN 431322 Hospital 5% Or Greater Security Interest (100%)
Operational/Managerial Control		 Dec 1, 1999
Dec 1, 1999
Fall River Health ServicesHot Springs, SD, CCN 435072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 13, 2014
Fall River ClinicHot Springs, SD, CCN 433423 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2004

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 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 3

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1790791366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 71 SOUTH",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577471374",
            "telephone_number": "605-745-3159",
            "fax_number": "605-745-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 71 SOUTH",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577471374",
            "telephone_number": "605-745-3159",
            "fax_number": "605-745-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL RIVER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-745-3159"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "47569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "8Z322",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALL RIVER HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, SD

Sources for this page

Verify at the official NPI Registry.