Organization
PHILIP HEALTH SERVICES, INC.
Active
Other names
Hans P. Peterson Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KENT OLSON (CEO)
(605) 859-2511
Entity
Organization
Contact information
Practice address
503 W PINE ST, PHILIP, SD 57567-3300
(605) 859-2511
(605) 859-3506
Mailing address
503 W PINE ST, PO BOX 790, PHILIP, SD 57567-3300
(605) 859-2511
(605) 859-3506
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
10555
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Z319
BCBS PROVIDER #
SD
Enumeration date
10/25/2006
Last updated
08/22/2020
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