Organization
COTEAU DES PRAIRIES HOSPITAL, INC
Active
Other names
COUTEAU DES PRIAIRES HOSPITAL & CLINIC WILMOT
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KANTOS (ADMINISTRATOR CEO)
(605) 698-7647
Entity
Organization
Contact information
Practice address
409 4TH ST, WILMOT, SD 57279-2214
(605) 938-4351
(605) 938-4481
Mailing address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7647
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030064
BLUE CROSS
—
05
—
05160
—
ND
01
—
3070116201
PRIMEWEST
—
Enumeration date
02/05/2007
Last updated
08/14/2024
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