Organization
FAULKTON AREA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLYTHE K SMITH (CREDENTIALING)
(605) 598-6262
Entity
Organization
Contact information
Practice address
1300 OAK ST, FAULKTON, SD 57438-2149
(605) 598-6262
(605) 598-4186
Mailing address
PO BOX 100, 1300 OAK STREET, FAULKTON, SD 57438-0100
(605) 598-6262
(605) 598-4186
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
10539
SD
282N00000X
General Acute Care Hospital
Primary
10539
SD
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100210
—
SD
05
—
0159250
—
SD
05
—
5500210
—
SD
Enumeration date
11/18/2005
Last updated
06/13/2014
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