Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT MOSCHELL (HR)
(605) 333-6852
Entity
Organization
Contact information
Practice address
532 AANA AVE, BALTIC, SD 57003-2033
(605) 529-6505
Mailing address
532 AANA AVE, BALTIC, SD 57003-2033
(605) 333-6852
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/15/2007
Last updated
12/15/2007
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