Bennett County Rural Health Clinic

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

BENNETT COUNTY RURAL HEALTH CLINIC

Practice address

302 S 1St Ave
Martin, SD 57551-5836

Phone

(605) 685-1660

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Moran

Title

Coo

Phone

(605) 685-1660

Specialties & licenses 1

Addresses

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

Bennett County Hospital and3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bennett County Hospital and Nursing Home

  • Critical Access Hospital
  • Martin, SD
  • NPI 1003105941
  NPD tax ID
• Bennett County Hospital and Nursing Home

  • Land Ambulance
  • Martin, SD
  • NPI 1386891349
  NPD tax ID

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1881459097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 1ST AVE",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575515836",
            "telephone_number": "605-685-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT COUNTY RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "605-685-1660"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett County Hospital and Nursing Home
• Bennett County Hospital and Nursing Home
• Bennett County Hospital and Nursing Home
• Bennett County Hospital and Nursing Home
• Bennett County Rural Health Clinic
• Bennett County School District 3-1
• Bennett County Senior Citizens Center Association, Inc.
• Cynthia Elaine Boltz
• Courtney Lajuan Carmichael, PA-C
• Ashley Rose Edelburg, DMD

• Community Health Worker in Martin, SD
• Providers in Martin, SD by specialty
• Community Health Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.