Organization
COTEAU DES PRAIRIES HOSPITAL
Active
Other names
Coteau des Prairies Health Care System
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KANTOS (CEO)
(605) 698-4601
Entity
Organization
Contact information
Practice address
205 ORCHARD DRIVE, SISSETON, SD 57262-2398
(605) 698-7647
(605) 698-4626
Mailing address
205 ORCHARD DRIVE, SISSETON, SD 57262-2398
(605) 698-7647
(605) 698-4626
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
10565
SD
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
60020
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159050
—
SD
01
—
5160
ND MEDICAID
ND
01
—
8U064
BLUE CROSS BLUE SHIELD
ND
01
—
8U064
BLUE CROSS BLUE SHIELD
SD
Enumeration date
11/09/2006
Last updated
08/08/2024
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