COTEAU DES PRAIRIES HOSPITAL, INC. (NPI# 1710033220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710033220 |
| Entity Type | Organization |
| Organization Name | COTEAU DES PRAIRIES HOSPITAL, INC. |
| Other Organization Name | COTEAU DES PRAIRIES WILMOT CLINIC |
| Practice Address |
409 4th St Wilmot SD 57279-2214 |
| Mailing Address |
205 Orchard Dr Sisseton SD 57262-2312 |
| Practice Telephone | 6059384351 |
| Practice Fax Number | 6059384481 |
| Mailing Telephone | 6056987681 |
| Mailing Fax Number | 6056983493 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM R. NELSON (ADMINISTRATOR, CEO) |
| Authorized Official Telephone | 6056987647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12440 | 05 | |
| SD | 5340230 | 05 |
| Other Name | Type Code |
|---|---|
| COTEAU DES PRAIRIES WILMOT CLINIC | Doing Business As Name - Organization |
| Street Address |
409 4TH ST |
| City | WILMOT |
| State | SD |
| Zip Code | 57279-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215207 | Susan Leddy | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-04-17 |
| 1700925153 | Coteau Des Prairies Hospital, Inc | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-02-05 |
| 1770680787 | Avera Mckennan | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1770586604 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2005-05-24 |
| 1639277577 | Wilmot Care Center | Assisted Living Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| 1487752424 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361894 | Venessa Schrader | Licensed Practical Nurse | 211 Massillon St, Wilmot, OH 44689-9618 | 2018-10-05 |
| 1235653692 | Dustin Tyler Strickland | Nurse Practitioner | 203 Mccombs St, Wilmot, AR 71676-8800 | 2017-07-27 |
| 1790140564 | Mainline Health Systems, Inc | Clinic/Center | 2764 Hwy 165 S, Wilmot, AR 71676 | 2015-12-22 |
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1093019739 | Donald Ralph Single | Emergency Medicine | 16 Mountain Overlook, Wilmot, NH 03287 | 2011-01-10 |
| 1639358500 | Wilmot Union High School District | Local Education Agency (LEA) | 11112 308th Ave, Wilmot, WI 53192 | 2007-10-29 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1568537942 | Genter Healthcare, Inc. | Respiratory Therapist, Certified | 28 Ridgewood Common, Wilmot, NH 03287 | 2006-11-21 |
| 1952314262 | Michael D Mcdaniels | Dentist | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-15 |
| 1558305201 | Wilmot Fire & Rescue, Inc. | Ambulance | 204 Mill Street, Wilmot, OH 44689 | 2006-06-15 |
| Find all providers in WILMOT | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1447803432 | City of Brookings | Clinic/Center | 104 1/2 West 2nd Street, Elkton, SD 57026 | 2019-07-19 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 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 |
| 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.