# PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265467245
- **Legal business name:** PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
- **Authorized official:** GEORGIA POKORNEY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (605) 326-5161

## Contact information

- **Practice address:** 315 N WASHINGTON STREET, VIBORG, SD 57070-0368
- **Practice address phone:** (605) 326-5161
- **Practice address fax:** (605) 326-5734
- **Mailing address:** PO BOX 368, VIBORG, SD 57070-0368
- **Mailing address phone:** (605) 326-5161
- **Mailing address fax:** (605) 326-5734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 48541 | SD | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159140 | — | SD |