PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (NPI# 1386834661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386834661 |
Entity Type | Organization |
Organization Name | PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES |
Other Organization Name | VIBORG MEDICAL CLINIC |
Practice Address |
103 W Pioneer Viborg SD 57070-0337 |
Mailing Address |
Po Box 337 Viborg SD 57070-0337 |
Practice Telephone | 6053265201 |
Practice Fax Number | 6053265196 |
Mailing Telephone | 6053265201 |
Mailing Fax Number | 6053265196 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2012-01-04 |
Authorized Official Name | GEORGIA POKORNEY (CEO) |
Authorized Official Telephone | 6053265161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | SD BLUE SHIELD | 0000085 | 01 |
Other Name | Type Code |
---|---|
Viborg Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003099508 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 315 N. Washington St, Viborg, SD 57070-0368 | 2007-12-07 |
1083728018 | Pioneer Memorial Hospital & Health Services | Assisted Living Facility | 315 N. Washington Street, Viborg, SD 57070-0368 | 2006-08-18 |
1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
1619926706 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 103 W Pioneer, Viborg, SD 57070-0337 | 2006-05-08 |
1619925450 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 100 E Sanborn St, Parker, SD 57053 | 2006-05-04 |
1598713281 | Pioneer Memorial Hospital & Health Services | General Acute Care Hospital | 315 N Washington St, Viborg, SD 57070-0368 | 2006-05-04 |
1912057274 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 2701 S Spring Ave, Sioux Falls, SD 57105-4725 | 2007-01-11 |
1417067059 | Pioneer Memorial Hospital & Health Services | Skilled Nursing Facility | 315 N. Washington Street, Viborg, SD 57070-0368 | 2006-08-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES | 315 N Washington St, Viborg, SD 57070-2002 |
Street Address |
103 W PIONEER |
City | VIBORG |
State | SD |
Zip Code | 57070-0337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619926706 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 103 W Pioneer, Viborg, SD 57070-0337 | 2006-05-08 |
1003451881 | Alex Kalsbeck | Nurse Practitioner | 103 W Pioneer, Viborg, SD 57070 | 2019-11-15 |
1871049155 | Michele R Rohde | Nurse Practitioner | 103 W Pioneer, Viborg, SD 57070 | 2016-08-28 |
1275928137 | Randall K Hahn Dds | Dentist | 103 W Pioneer, Viborg, SD 57070 | 2015-03-30 |
1154681880 | Kayla M Mehlhaf | Nurse Practitioner | 103 W Pioneer, Viborg, SD 57070-0337 | 2012-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
1306131602 | Melody A Shrack | Family Medicine | 103 W Pioneer Ave, Viborg, SD 57070 | 2011-06-14 |
1306918925 | Viborg School District | Local Education Agency (LEA) | 324 Park Avenue, Viborg, SD 57070 | 2006-11-15 |
1487744488 | Lewis Family Drug, LLC | Pharmacy | 104 W Park Ave, Viborg, SD 57070 | 2006-10-13 |
1114956059 | Viborg Ambulance Service | Ambulance | 101 W Sorenson St, Viborg, SD 57070 | 2006-07-02 |
1942728183 | Ashley Johnson | Physician Assistant | 103 W Pioneer Ave, Viborg, SD 57070 | 2017-09-08 |
1821286667 | Robert Randal Taylor | Chiropractor | 102 N Main St, Viborg, SD 57070 | 2007-10-05 |
1689823239 | Linda L. Richardson | Counselor | 117 N. Main, Viborg, SD 57070-0094 | 2008-09-18 |
1871523555 | Boone Family Chiropractic P.C. | Chiropractor | 102 N Main St., Viborg, SD 57070-0203 | 2006-07-05 |
1629027107 | Greg S Long | Chiropractor | 102 N. Main, Viborg, SD 57070-0203 | 2006-05-10 |
Find all providers in zip 57070 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1588223440 | Danielle Hohm, Fnp, Family Wellness Clinic | Clinic/Center | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.