Prairie Health Clinic - Stickney

LBN: Douglas County Memorial Hospital
Prairie Health Clinic - Stickney is an health care organization with primary practice located at 301 Main Street , Stickney SD 57375-0014. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as the primary health care specialty. Douglas County Memorial Hospital can be contacted via phone (605) 732-4508, or through Neugebauer, Nicole J via phone (605) 732-4508.

Contact Information

Primary practice address
301 Main Street Stickney SD 57375-0014
Phone: (605) 732-4508
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Neugebauer, Nicole J
Phone: (605) 732-4508

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1558464446
LBN Legal business name Douglas County Memorial Hospital
DBA Doing business as Prairie Health Clinic - Stickney
Authorized official Neugebauer, Nicole J
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2006
Last updated Dec 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558464446 NPPES
South Dakota MEDICAID 5340420
South Dakota Other 43D1039717

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