Organization Active NPI

Pioneer Memorial Hospital & Health Services

  • Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1912057274
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jan 25, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.