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 DR, SISSETON, SD 57262-2398
(605) 698-7681
(605) 698-3493
Mailing address
205 ORCHARD DR, SISSETON, SD 57262-2398
(605) 698-7681
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60020
SD
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030064
BLUE CROSS
—
05
—
05160
—
ND
01
—
30701162
PRIMEWEST
—
01
—
56G45CO
BLUE CROSS
—
01
—
60184CO
BLUE CROSS
—
Enumeration date
02/05/2007
Last updated
08/08/2024
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