Organization
BENNETT COUNTY HOSPITAL AND NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JAGER (IT MANAGER)
(605) 685-6622
Entity
Organization
Contact information
Practice address
102 MAJOR ALLEN ST, MARTIN, SD 57551-6005
(605) 685-6622
Mailing address
PO BOX 70, MARTIN, SD 57551-0070
(605) 685-6622
(605) 685-1166
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
SD
282NC0060X
Critical Access Hospital
Primary
—
SD
333600000X
Pharmacy
100-2050
SD
3336L0003X
Long Term Care Pharmacy
100-2050
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006944
BLUE CROSS
SD
05
—
0100790
—
SD
05
—
0150180
—
SD
05
—
0159320
—
SD
05
—
0170792
—
SD
05
—
5500790
—
SD
01
—
81314
BLUE CROSS
SD
05
—
9001122
—
SD
05
—
9011382
—
SD
05
—
9550312
—
SD
Enumeration date
06/30/2006
Last updated
11/30/2021
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