PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (NPI# 1619925450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619925450 |
Entity Type | Organization |
Organization Name | PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES |
Other Organization Name | PARKER MEDICAL CLINIC |
Practice Address |
100 E Sanborn St Parker SD 57053 |
Mailing Address |
Po Box 368 Viborg SD 57070-0368 |
Practice Telephone | 6052973888 |
Practice Fax Number | 6052973974 |
Mailing Telephone | 6053265161 |
Mailing Fax Number | 6053265734 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2012-01-04 |
Authorized Official Name | GEORGIA POKORNEY (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6053265161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 5340290 | 05 | |
SD | WELLMARK | 4993928 | 01 |
Other Name | Type Code |
---|---|
Parker 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 |
1598713281 | Pioneer Memorial Hospital & Health Services | General Acute Care Hospital | 315 N Washington St, Viborg, SD 57070-0368 | 2006-05-04 |
1386834661 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 103 W Pioneer, Viborg, SD 57070-0337 | 2007-08-01 |
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 |
100 E SANBORN ST |
City | PARKER |
State | SD |
Zip Code | 57053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073094611 | Amanda Thoms | Nurse Practitioner | 100 E Sanborn St, Parker, SD 57053-2238 | 2018-08-22 |
1508264862 | Anna Skibba | Physician Assistant | 100 E Sanborn St, Parker, SD 57053-2238 | 2014-12-18 |
1093024416 | Clark Hunstad | Dentist | 100 E Sanborn St, Parker, SD 57053-2238 | 2010-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376732891 | Xcelerated Physical Therapy and Rehab Specialists | Physical Therapist | 290 N Main, Parker, SD 57053 | 2007-10-22 |
1982855441 | Parker Chiropractic PC | Chiropractor | 380 N. Main Ave., Parker, SD 57053 | 2008-10-02 |
1396934493 | City Auditor | Ambulance | 115 N Main Ave, Parker, SD 57053-0265 | 2007-10-15 |
1912993767 | John S. Chicoine | Chiropractor | 380 N. Main Ave., Parker, SD 57053-0326 | 2005-09-26 |
1194857094 | James R White | Pharmacist | 27600 Sd Highway 19, Parker Plaza, Parker, SD 57053-0519 | 2007-03-09 |
1366830663 | Brett Herlyn | Chiropractor | 569 E 3rd St, Parker, SD 57053-2170 | 2015-01-08 |
1750450961 | Parker Pharmacy, LLC | Pharmacy | 27516 Sd Highway 19 Ste 2, Parker, SD 57053-5633 | 2006-11-06 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
1609013317 | Douglas County Memorial Hospital | Clinic/Center | 310 W Sd Highway 46, Wagner, SD 57380-9304 | 2009-01-16 |
1750422655 | Regional Health Physicians Inc | Clinic/Center | 114 E Main Street, Hill City, SD 57745 | 2007-02-12 |
1326189754 | Regional Health Physicians Inc | Clinic/Center | 101 E. Third St., Newell, SD 57760 | 2007-02-09 |
1609931518 | Sioux Valley Clinic | Clinic/Center | 600 W Cedar Street (highway 46), Beresford, SD 57004 | 2006-12-22 |
1588677892 | Avera Mckennan | Clinic/Center | 305 N 2nd Ave, Revillo, SD 57259-0006 | 2006-08-15 |
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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.