HENDRICKS COMMUNITY HOSPITAL ASSOCIATION; NPI #1790863405

Contact Information

HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

302 EAST FIFTH STREET
WHITE, SD 57276

Phone: 605-629-8211
Fax: 605-629-8291
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

NPI Number 1790863405

LBN Legal business name HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

Authorized official JEFF GOLLAHER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/01/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

SD	License #	11137
SD	Medicaid	5306792

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

Contact Information

Specialty

Rural Health

NPI Profile & details for HENDRICKS COMMUNITY HOSPITAL ASSOCIATION

Reviews for HENDRICKS COMMUNITY HOSPITAL ASSOCIATION