Organization
BOWDLE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON KOSIAK (CEO)
(605) 285-6146
Entity
Organization
Contact information
Practice address
8001 WEST 5TH STREET, BOWDLE, SD 57428-0556
(605) 285-6146
(605) 285-6410
Mailing address
PO BOX 556, BOWDLE, SD 57428-0556
(605) 285-6146
(605) 285-6410
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10527
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100670
—
SD
05
—
5405070
—
SD
05
—
5500670
—
SD
01
—
80079
BLUE CROSS
SD
05
—
9002440
—
SD
05
—
9566070
—
SD
Enumeration date
06/22/2006
Last updated
08/06/2009
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