Organization
COTEAU DES PRAIRIES HOSPITAL, INC.
Active
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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