Organization
DOUGLAS COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATH R BROUWER (ADMINISTRATOR)
(605) 724-2159
Entity
Organization
Contact information
Practice address
708 8TH ST, ARMOUR, SD 57313-2102
(605) 724-2159
(605) 724-2310
Mailing address
708 8TH ST, ARMOUR, SD 57313-2102
(605) 724-2159
(605) 724-2310
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10526
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100780
—
SD
05
—
5500780
—
SD
01
—
81305
BLUE CROSS
SD
01
—
87049
BLUE CROSS
SD
01
—
8Z305
BLUE CROSS
SD
Enumeration date
06/17/2005
Last updated
12/06/2011
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