CHILDREN'S CARE HOSPITAL AND SCHOOL
Intermediate Care Facility, Mentally Retarded
Sioux Falls, South Dakota
Provider NPI: 1477754950
Organization Information:Organization Name: CHILDREN'S CARE HOSPITAL AND SCHOOL
Practice Location:
2501 W 26TH ST SIOUX FALLS, SD 57105 US
Tel: 605-444-9500 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:
2501 W 26TH ST SIOUX FALLS, SD 57105 US
Tel: 605-444-9500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0880004 | IA | 05 | |
0210010 | SD | 05 | |
0169040 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin