Organization
COTEAU DES PRAIRIES HOSPITAL, INC.
Active
Other names
COTEAU DES PRAIRIES WILMOT CLINIC
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) 698-7681
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12440
—
ND
05
—
5340230
—
SD
Enumeration date
01/26/2007
Last updated
08/14/2024
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