Active NPI
Pioneer Memorial Hospital & Health Services
- Clinic/Center
- Sioux Falls, SD
National Provider Identifier
1912057274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
- Practice address
- 2701 S Spring Ave
Sioux Falls, SD 57105-4725 - Phone
- (605) 334-1944
- Fax
- (605) 334-1629
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Rudd
- Title
- Director of Clinic Operations
- Phone
- (605) 326-3045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2701 S Spring Ave
Sioux Falls, SD 57105-4725
Mailing address
315 N Washington St
PO Box 368
Viborg, SD 57070-0368
Phone (605) 326-5161
Other names 1
- Bess surgery Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000252 | SD | Part B Supplier - Clinic/Group Practice | 9234042755 |
Receives reassigned benefits from 16 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Viborg, SD |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital
- Viborg, SD
- NPI 1598713281
O20031111000252
-
- Rural Health Clinic/Center
- Viborg, SD
- NPI 1619926706
O20031111000252
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1912057274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N WASHINGTON ST",
"address_2": "PO BOX 368",
"city": "VIBORG",
"state": "SD",
"postal_code": "570700368",
"telephone_number": "605-326-5161",
"fax_number": "605-326-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S SPRING AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054725",
"telephone_number": "605-334-1944",
"fax_number": "605-334-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "RUDD",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
"authorized_official_telephone_number": "605-326-3045"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bess surgery Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bess surgery Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.