# DOUGLAS COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174516124
- **Authorized official:** NICOLE J NEUGEBAUER CPC (CLINIC OFFICE MANAGER)
- **Authorized official phone:** (605) 724-2151

## Contact information

- **Practice address:** 708 8TH ST, ARMOUR, SD 57313-2102
- **Practice address phone:** (605) 724-2151
- **Practice address fax:** (605) 724-2310
- **Mailing address:** 708 8TH ST, ARMOUR, SD 57313-2102
- **Mailing address phone:** (605) 724-2151
- **Mailing address fax:** (605) 724-2310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5300600 | — | SD |