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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
513 3RD ST SW WAGNER, SD 57380 US
Tel: 605-384-3611 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 282E00000X | Hospitals Long Term Care Hospital | SD | 10571 |
Y | 275N00000X | Hospital Units Medicare Defined Swing Bed Unit | SD | 10571 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC SLTC | 8Z1315 | SD | 01 |
1007417 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin