Active NPI
Bowdle Hospital
Doing business as Bowdle Hospital Assisted Living
- Assisted Living Facility
- Bowdle, SD
National Provider Identifier
1871725630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BOWDLE HOSPITAL
- Doing business as
- Bowdle Hospital Assisted Living
- Practice address
- 8001 West 5TH Street
Bowdle, SD 57428-0556 - Phone
- (605) 285-6146
- Fax
- (605) 285-6410
- NPI assigned
- Aug 12, 2009
- Last updated
- Aug 12, 2009
- Organization subpart
- Yes
- Parent organization
- BOWDLE HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon Kosiak
- Title
- Ceo
- Phone
- (605) 285-6146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
8001 West 5TH Street
Bowdle, SD 57428-0556
Mailing address
PO Box 556
Bowdle, SD 57428-0556
Phone (605) 285-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9570770 | Medicaid | SD |
Other names 1
- Bowdle Hospital Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- Bowdle Hospital
- Part of
- Bowdle Hospital
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Bowdle, SD
- NPI 1922171057
-
- Critical Access Hospital
- Bowdle, SD
- NPI 1669418877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250035200000",
"number": "1871725630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 556",
"city": "BOWDLE",
"state": "SD",
"postal_code": "574280556",
"telephone_number": "605-285-6146",
"fax_number": "605-285-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 WEST 5TH STREET",
"city": "BOWDLE",
"state": "SD",
"postal_code": "574280556",
"telephone_number": "605-285-6146",
"fax_number": "605-285-6410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWDLE HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOWDLE HOSPITAL",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A",
"authorized_official_last_name": "KOSIAK",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-285-6146",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9570770",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bowdle Hospital Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowdle, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.