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Contact Information

WOONSOCKET HEALTHCARE, LLC
401 S 1ST AVE
WOONSOCKET, SD57385
 Phone: 605-796-4467
 Fax: 605-796-4497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WOONSOCKET HEALTHCARE, LLC

NPI Number 1922092493
LBN Legal business name WOONSOCKET HEALTHCARE, LLC
Authorized official THOMAS BOERBOOM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 02/17/2017 - About 9 years ago
Identifiers
SD License # 10714
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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