BENNETT COUNTY RURAL HEALTH CLINIC (NPI# 1770958837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770958837 |
| Entity Type | Organization |
| Organization Name | BENNETT COUNTY RURAL HEALTH CLINIC |
| Practice Address |
102 Major Allen St Martin SD 57551-6005 |
| Mailing Address |
302 S 1st Ave Po Box 40 Martin SD 57551-0040 |
| Practice Telephone | 6056851660 |
| Practice Fax Number | 6056851166 |
| Mailing Telephone | 6056851660 |
| Mailing Fax Number | 6056851166 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | JUDY SODERLIN (CFO) |
| Authorized Official Telephone | 6056856622 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENNETT COUNTY HOSPITAL AND NURSING HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10549 | SD | Hospitals |
| Street Address |
102 MAJOR ALLEN ST |
| City | MARTIN |
| State | SD |
| Zip Code | 57551-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437187044 | Bennett County Hospital and Nursing Home | Clinic/Center | 102 Major Allen St, Martin, SD 57551-6005 | 2006-06-30 |
| 1487293692 | Katherine Lyford Corey | Nurse Practitioner | 102 Major Allen St, Martin, SD 57551-6005 | 2020-01-06 |
| 1609347798 | James Awuah | Physician Assistant | 102 Major Allen St, Martin, SD 57551-6005 | 2018-12-16 |
| 1821582990 | Jennifer Risse | Nurse Practitioner | 102 Major Allen St, Martin, SD 57551-6005 | 2018-06-21 |
| 1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
| 1023272812 | Robert Norman Lee Corprew Jr. | Family Medicine | 102 Major Allen St, Martin, SD 57551-6005 | 2008-07-11 |
| 1972687192 | Horizon Health Care, Inc | Clinic/Center | 102 Major Allen St, Martin, SD 57551-0550 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113736 | Tami Lynn Toczek | Dietitian, Registered | 22013 Old Highway 18, Martin, SD 57551 | 2018-11-15 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1851696843 | Cathy Sue Childress | Physician Assistant | 302 South 1st Avenue, Martin, SD 57551 | 2011-01-21 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1417313016 | Amanda Lynn Ruhs | Nurse Practitioner | 109 Pugh Street, Martin, SD 57551 | 2016-01-12 |
| 1255416186 | Kirk Wilson Martin Drug & Mercantile | Pharmacy | 304 Main St, Martin, SD 57551-0050 | 2006-10-26 |
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| Find all providers in zip 57551 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1306339460 | Arh Mary Breckinridge Health Services, Inc. | General Acute Care Hospital | 11203 Main St, Martin, KY 41649-7999 | 2018-06-12 |
| 1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
| 1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1720026222 | Landmann Jungman Memorial Hospital | General Acute Care Hospital | 600 Billars St, Scotland, SD 57059-2026 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.