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Organization
WAGNER COMMUNITY MEMORIAL HOSPITAL
Active
Organization
WAGNER COMMUNITY MEMORIAL HOSPITAL
Active
Parent organization
WAGNER COMMUNITY MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAGNER COMMUNITY MEMORIAL HOSPITAL
Authorized official
MR. BRYAN SLABA (CEO)
(605) 384-3611
Entity
Organization
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-0280
(605) 384-3611
(605) 384-3232
Mailing address
513 3RD ST SW, PO BOX 280, WAGNER, SD 57380-0280
(605) 384-3611
(605) 384-3232
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
10571
SD
282E00000X
Long Term Care Hospital
10571
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007417
—
SD
01
—
8Z1315
BC SLTC
SD
Enumeration date
01/02/2007
Last updated
03/07/2017
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