Organization
BELLE FOURCHE HEALTHCARE, LLC
Active
Parent organization
WELCOV HEALTHCARE, LLC
Other names
Belle Fourche Healthcare Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELCOV HEALTHCARE, LLC
Authorized official
MR. THOMAS E. BOERBOOM (CHIEF OPERATING OFFICER)
(952) 873-7907
Entity
Organization
Contact information
Practice address
2200 - 13TH AVENUE, BELLE FOURCHE, SD 57717-2215
(605) 892-3331
(605) 723-0204
Mailing address
2200 - 13TH AVENUE, BELLE FOURCHE, SD 57717-2215
(605) 892-3331
(605) 723-0204
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10594
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150203
—
SD
Enumeration date
04/11/2006
Last updated
11/03/2014
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