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Contact Information

CITY OF ESTELLINE
205 FJERESTAD AVE E
ESTELLINE, SD57234-2103
 Phone: 605-873-2278
 Fax: 605-873-2989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for CITY OF ESTELLINE

NPI Number 1649268608
LBN Legal business name CITY OF ESTELLINE
Authorized official MICHAEL WARD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/12/2005
Last updated 06/13/2008 - About 18 years ago
Identifiers
SD License # 10617
SD License # 11067
SD Medicaid 0151140
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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