Tieszen Memorial Home Inc

LBN: Tieszen Memorial Home Inc
Tieszen Memorial Home Inc is an health care organization with primary practice located at 312 E State St , Marion SD 57043-2011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Tieszen Memorial Home Inc can be contacted via phone (605) 648-3611, or through Engbrecht, Paul I via phone (605) 648-3611.

Contact Information

Primary practice address
312 E State St Marion SD 57043-2011
Phone: (605) 648-3611
Fax: (605) 648-3363
Website:
Map and Directions
Authorized official contact:
Name: Engbrecht, Paul I
Phone: (605) 648-3611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1891925806
LBN Legal business name Tieszen Memorial Home Inc
DBA Doing business as
Authorized official Engbrecht, Paul I
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2009
Last updated Jul 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891925806 NPPES
South Dakota MEDICAID 0160650

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