Organization
REGIONAL HEALTH NETWORK INC
Active
Other names
REGIONAL HEALTH CUSTER HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE DAVIDSON (COO)
(605) 755-9138
Entity
Organization
Contact information
Practice address
1039 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-2229
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 673-2229
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
47660
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47660
LICENSE
SD
05
—
5800240
—
SD
Enumeration date
10/10/2006
Last updated
03/13/2018
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