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WAGNER COMMUNITY MEMORIAL HOSPITAL

Long Term Care Hospital

Wagner, South Dakota

Provider NPI: 1629135645

Organization Information:
Organization Name:  WAGNER COMMUNITY MEMORIAL HOSPITAL


Practice Location:
513 3RD ST SW  WAGNER, SD 57380 US
Tel: 605-384-3611  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N282E00000XHospitals
Long Term Care Hospital
SD10571
Y275N00000XHospital Units
Medicare Defined Swing Bed Unit
SD10571

Other Provider Identifiers:

IssuerNumberStateType
BC SLTC8Z1315SD01
1007417SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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