WILMOT CARE CENTER
Nursing Care, Pediatric
Wilmot, South Dakota
Provider NPI: 1487752424
Organization Information:Organization Name: WILMOT CARE CENTER
Practice Location:
501 4TH ST WILMOT, SD 57279 US
Tel: 605-938-4418 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:
501 4TH ST WILMOT, SD 57279 US
Tel: 605-938-4418 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | SD | 10712 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS PPO PROVIDER # | 4995108 | SD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin