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Contact Information

WAGNER COMMUNITY MEMORIAL HOSPITAL
513 3RD ST SW
WAGNER, SD57380-0280
 Phone: 605-384-3611
 Fax: 605-384-3232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medicare Defined Swing Bed Unit

275N00000X A0[7] Hospital-Swing Bed Approved
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for WAGNER COMMUNITY MEMORIAL HOSPITAL

NPI # 1629135645
LBN Legal business name WAGNER COMMUNITY MEMORIAL HOSPITAL
Authorized official BRYAN SLABA - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/02/2007
Last updated 03/07/2017 - About 9 years ago
Identifiers
SD License # 10571
SD Medicaid 1007417
SD Other 8Z1315 BC SLTC
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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