# COTEAU DES PRAIRIES HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COUTEAU DES PRIAIRES HOSPITAL & CLINIC WILMOT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700925153
- **Authorized official:** CRAIG KANTOS (ADMINISTRATOR CEO)
- **Authorized official phone:** (605) 698-7647

## Contact information

- **Practice address:** 409 4TH ST, WILMOT, SD 57279-2214
- **Practice address phone:** (605) 938-4351
- **Practice address fax:** (605) 938-4481
- **Mailing address:** 205 ORCHARD DR, SISSETON, SD 57262-2312
- **Mailing address phone:** (605) 698-7647
- **Mailing address fax:** (605) 698-3493

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0030064 | BLUE CROSS | — |
| 05 | — | 05160 | — | ND |
| 01 | — | 3070116201 | PRIMEWEST | — |