Kingsbury Memorial Manor

LBN: Kingsbury Memorial Manor
Kingsbury Memorial Manor is an health care organization with primary practice located at 703 4Th St Se , Lake Preston SD 57249-2116. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kingsbury Memorial Manor can be contacted via phone (605) 847-4405, or through Groff, Howie via phone (952) 888-2923.

Contact Information

Primary practice address
703 4Th St Se Lake Preston SD 57249-2116
Phone: (605) 847-4405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Groff, Howie
Phone: (952) 888-2923

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10640 South Dakota

Profile Details

NPI number 1942272349
LBN Legal business name Kingsbury Memorial Manor
DBA Doing business as
Authorized official Groff, Howie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1942272349 NPPES
South Dakota Other 85067 WELLMARK
South Dakota MEDICAID 0151270 WELLMARK

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