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Organization

BOWDLE HOSPITAL

Active
Other names
Bowdle Rural Health Clinic
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
(605) 285-6832
(605) 285-6986
Mailing address
P.O. BOX 556, BOWDLE, SD 57428-0556
(605) 285-6146
(605) 285-6410

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5340200
SD
Enumeration date
10/04/2006
Last updated
08/22/2020
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