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Organization

ST. MICHAEL'S HOSPITAL, INC.

Active
Other names
St. Michael's Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL ANN DEURMIER (CHIEF EXECUTIVE OFFICER)
(605) 589-3341
Entity
Organization

Contact information

Practice address
410 WEST 16TH AVE., TYNDALL, SD 57066-0027
(605) 589-3341
(605) 589-3288
Mailing address
410 WEST 16TH AVE., TYNDALL, SD 57066-0027
(605) 589-3341
(605) 589-3288

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10696
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160860
SD
Enumeration date
06/15/2006
Last updated
06/14/2010
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