Philip Health Services, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

10661 Issued in SD

Legal business name

PHILIP HEALTH SERVICES, INC.

Practice address

503 W Pine St
Philip, SD 57567-3300

Phone

(605) 859-2511

Fax

(605) 859-3506

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Kent Olson

Title

Administrator

Phone

(605) 859-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Philip Nursing Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Virgil Breeden Jr 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.

• Philip Clinic

  • Clinic/Center
  • Philip, SD
  • NPI 1609453422
  NPD tax ID
• Philip Health Services, Inc

  • Rural Health Clinic/Center
  • Kadoka, SD
  • NPI 1568416667
  NPD tax ID
• Philip Health Services, Inc.

  • Critical Access Hospital
  • Philip, SD
  • NPI 1750300646
  NPD tax ID
• Philip Health Services, Ins

  • Assisted Living Facility
  • Philip, SD
  • NPI 1609078492
  NPD tax ID

Practitioners 2

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

• Kerry Alan Blackham, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Philip, SD
  • NPI 1922014273
  NPD (past)
• David A Holman, M.D.

  • Family Medicine Physician
  • Philip, SD
  • NPI 1629048954
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811054869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "address_2": "PO BOX 790",
            "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": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-859-2511"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "SD",
            "license": "10661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150600",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Clinic
• Philip Health Services, Inc.
• Philip Health Services, Inc.
• Philip Health Services, Inc.
• Philip Health Services, Inc.
• Philip Health Services, Ins
• Doreen Vetter, D.C.
• Audrey Weber, PA-C

• Nursing Facility/Intermediate Care Facility in Philip, SD
• Providers in Philip, SD by specialty
• Nursing Facility/Intermediate Care Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.