National Provider Identifier Database

HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Rural Health


Contact Information

HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
302 EAST FIFTH STREET
WHITE, SD57276
Phone: 605-629-8211
Fax: 605-629-8291
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

NPI Number 1790863405
Legal business name
LBN
HENDRICKS COMMUNITY HOSPITAL ASSOCIATION
Authorized official JEFF GOLLAHER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 11137
  • SD Medicaid: 5306792

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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