# COTEAU DES PRAIRIES HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coteau des Prairies Health Care System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265502686
- **Authorized official:** CRAIG KANTOS (CEO)
- **Authorized official phone:** (605) 698-4601

## Contact information

- **Practice address:** 205 ORCHARD DRIVE, SISSETON, SD 57262-2398
- **Practice address phone:** (605) 698-7647
- **Practice address fax:** (605) 698-4626
- **Mailing address:** 205 ORCHARD DRIVE, SISSETON, SD 57262-2398
- **Mailing address phone:** (605) 698-7647
- **Mailing address fax:** (605) 698-4626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 10565 | SD | — |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 60020 | SD | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159050 | — | SD |
| 01 | — | 5160 | ND MEDICAID | ND |
| 01 | — | 8U064 | BLUE CROSS BLUE SHIELD | ND |
| 01 | — | 8U064 | BLUE CROSS BLUE SHIELD | SD |