NPIMap

Organization Active NPI

St. Michael'S Hospital, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Tyndall, SD
National Provider Identifier
1891739512
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
10696 Issued in SD
Legal business name
ST. MICHAEL'S HOSPITAL, INC.
Practice address
410 West 16TH Ave.
Tyndall, SD 57066-0027
Phone
(605) 589-3341
Fax
(605) 589-3288
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Carol Ann Deurmier
Title
Chief Executive Officer
Phone
(605) 589-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 10696 SD Primary

Addresses

Primary practice location

410 West 16TH Ave.
Tyndall, SD 57066-0027

Mailing address

410 West 16TH Ave.
Tyndall, SD 57066-0027
Phone (605) 589-3341

Other identifiers 1

IdentifierTypeStateIssuer
0160860MedicaidSD

Other names 1

  • St. Michael's Nursing Home Other name

National Provider Directory

National Provider Directory
Tax ID family
St Michaels Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1891739512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WEST 16TH AVE.",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570660027",
            "telephone_number": "605-589-3341",
            "fax_number": "605-589-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WEST 16TH AVE.",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570660027",
            "telephone_number": "605-589-3341",
            "fax_number": "605-589-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "DEURMIER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-589-3341"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "SD",
            "license": "10696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160860",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Michael's Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyndall, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.