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Contact Information

KADOKA NURSING HOME ASS.
103 MAPLE ST, W
KADOKA, SD57543-0310
 Phone: 605-837-2270
 Fax: 605-837-2201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for KADOKA NURSING HOME ASS.

NPI # 1770780140
LBN Legal business name KADOKA NURSING HOME ASS.
Authorized official RUBY SANFTNER - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SD License # 10637
SD Medicaid 0160290
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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