BOWDLE HOSPITAL (NPI# 1669418877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669418877 |
| Entity Type | Organization |
| Organization Name | BOWDLE HOSPITAL |
| Practice Address |
8001 West 5th Street Bowdle SD 57428-0556 |
| Mailing Address |
Po Box 556 Bowdle SD 57428-0556 |
| Practice Telephone | 6052856146 |
| Practice Fax Number | 6052856410 |
| Mailing Telephone | 6052856146 |
| Mailing Fax Number | 6052856410 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | MR. JON KOSIAK (CEO) |
| Authorized Official Telephone | 6052856146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10527 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0100670 | 05 | |
| SD | 5405070 | 05 | |
| SD | 5500670 | 05 | |
| SD | 9566070 | 05 | |
| SD | BLUE CROSS | 80079 | 01 |
| SD | 9002440 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871725630 | Bowdle Hospital | Assisted Living Facility | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2009-08-12 |
| 1003999152 | Bowdle Hospital | Medicare Defined Swing Bed Unit | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-10-23 |
| 1174610505 | Bowdle Hospital | Skilled Nursing Facility | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-10-06 |
| 1942395835 | Bowdle Hospital | Clinic/Center | 8001 West 5th Street, Bowdle, SD 57428 | 2006-10-04 |
| Street Address |
8001 WEST 5TH STREET |
| City | BOWDLE |
| State | SD |
| Zip Code | 57428-0556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407131915 | Amanda Kramer | Physician Assistant | 8001 West 5th Street, Bowdle, SD 57428-0360 | 2011-10-15 |
| 1871725630 | Bowdle Hospital | Assisted Living Facility | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2009-08-12 |
| 1982760435 | Bowdle Clinic | Clinic/Center | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-12-29 |
| 1922171057 | Bowdle Clinic | Clinic/Center | 8001 West 5th Street, Bowdle, SD 57428 | 2006-11-16 |
| 1891865705 | John C Ottenbacher | Family Medicine | 8001 West 5th Street, Bowdle, SD 57428 | 2006-11-08 |
| 1003999152 | Bowdle Hospital | Medicare Defined Swing Bed Unit | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-10-23 |
| 1386731719 | Clint E. Perman | Physician Assistant | 8001 West 5th Street, Bowdle, SD 57428-0360 | 2006-10-06 |
| 1174610505 | Bowdle Hospital | Skilled Nursing Facility | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-10-06 |
| 1942395835 | Bowdle Hospital | Clinic/Center | 8001 West 5th Street, Bowdle, SD 57428 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934335 | Jt Anesthesia Prof LLC | Nurse Anesthetist, Certified Registered | 32521 139th Street, Bowdle, SD 57428 | 2019-10-28 |
| 1952629032 | Turner Drug Inc | Pharmacy | 3033 Main Street, Bowdle, SD 57428 | 2010-05-13 |
| 1013062280 | Lori J Eisenbeisz | Chiropractor | 3043 Main St., Bowdle, SD 57428 | 2007-01-25 |
| 1851314231 | Turner Drug Inc | Pharmacy | 3033 Main St, Bowdle, SD 57428 | 2006-07-25 |
| 1144307885 | Bowdle School 22-1 | Local Education Agency (LEA) | 3083 2nd Ave., Bowdle, SD 57428-0563 | 2006-11-01 |
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1720026222 | Landmann Jungman Memorial Hospital | General Acute Care Hospital | 600 Billars St, Scotland, SD 57059-2026 | 2006-06-04 |
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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.