ST. MICHAEL'S HOSPITAL, INC. (NPI# 1720022445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720022445 |
| Entity Type | Organization |
| Organization Name | ST. MICHAEL'S HOSPITAL, INC. |
| Practice Address |
410 W 16th Ave Tyndall SD 57066-2318 |
| Practice Telephone | 6055892100 |
| Practice Fax Number | 6055892115 |
| Mailing Telephone | 6055892100 |
| Mailing Fax Number | 6055892115 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | ASHLI DANILKO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6055892152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
48584 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0159160 | 05 | |
| SD | SKILLED SWINGBED CAH BCBS | 8Z327 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1073514311 | St. Michael's Hospital, Inc. | Pharmacy | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2005-08-09 |
| 1548204209 | St. Michael's Hospital, Inc. | Clinic/Center | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2006-06-15 |
| 1558305243 | St. Michael's Hospital, Inc. | Clinic/Center | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2006-06-15 |
| 1467496158 | St. Michael's Hospital, Inc. | Clinic/Center | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2006-06-15 |
| 1891739512 | St. Michael's Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| Street Address |
410 W 16TH AVE |
| City | TYNDALL |
| State | SD |
| Zip Code | 57066-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514311 | St. Michael's Hospital, Inc. | Pharmacy | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2005-08-09 |
| 1427674779 | Janelle Kay Kriz | Nurse Practitioner | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2020-06-23 |
| 1326697970 | Scott R Ulmer | Physician Assistant | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2019-09-06 |
| 1639617731 | Annie Elizabeth Thury | Nurse Practitioner | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2017-02-08 |
| 1285003772 | Amber Evenson | Physician Assistant | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2015-09-15 |
| 1689001166 | Shane Merchant | Physician Assistant | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2013-09-30 |
| 1679810931 | Kimberly Hinz | Physician Assistant | 410 W 16th Ave, Tyndall, SD 57066 | 2013-01-07 |
| 1952686016 | Wayne Lee Kudera | Physical Therapy Assistant | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2011-10-19 |
| 1881816775 | Erin Lynn Odens | Physical Therapist | 410 W 16th Ave, Tyndall, SD 57066 | 2007-05-02 |
| 1720164155 | Douglas Harold Johnson | Pharmacist | 410 W 16th Ave, Tyndall, SD 57066 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154770345 | Stephanie Ulmer | Speech-Language Pathologist | 1602 Pine St., Tyndall, SD 57066 | 2016-06-08 |
| 1730329665 | Bon Homme School District | Local Education Agency (LEA) | 1404 Fir St, Tyndall, SD 57066 | 2009-03-05 |
| 1912187865 | Steven Michael Burtz | General Practice | 1702 Main St, Tyndall, SD 57066 | 2007-11-08 |
| 1942418520 | Steve Mach | Physical Therapist | 410 W. 16th. Ave., Tyndall, SD 57066 | 2007-05-18 |
| 1720102221 | Jay J Fitzgerald Dc | Chiropractor | 1605 Main St., Tyndall, SD 57066 | 2007-03-19 |
| 1528168796 | Scott A Crouse | Pharmacist | 410 West 16th Avenue, Tyndall, SD 57066 | 2006-09-25 |
| 1053417394 | Hoch Drug Company | Pharmacy | 1619 Main Street, Tyndall, SD 57066 | 2006-09-15 |
| 1326024886 | James Torsney | Optometrist | 1708 Main Street, Tyndall, SD 57066 | 2005-12-16 |
| 1952846602 | First Chiropractic Centers, PC | Chiropractor | 1605 Main St, Tyndall, SD 57066 | 2017-01-04 |
| 1154752640 | Lindsey Marie Sivertsen | Chiropractor | 1605 Main St., Tyndall, SD 57066 | 2013-12-09 |
| Find all providers in zip 57066 | ||||
| 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 |
|---|---|---|---|---|
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1730123522 | St Michael's Hospital, Inc. | General Acute Care Hospital | 410 W 16th Ave, Tyndall, SD 57066-2318 | 2006-06-15 |
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|---|---|---|---|---|
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| 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 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1720026222 | Landmann Jungman Memorial Hospital | General Acute Care Hospital | 600 Billars St, Scotland, SD 57059-2026 | 2006-06-04 |
| 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.