Wagner Community Clinic

LBN: Wagner Community Memorial Hospital
Wagner Community Clinic is an health care organization with primary practice located at 513 3Rd St Sw , Wagner SD 57380-9675. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Wagner Community Memorial Hospital can be contacted via phone (605) 384-3611, or through Slaba, Bryan via phone (605) 384-3611.

Contact Information

Primary practice address
513 3Rd St Sw Wagner SD 57380-9675
Phone: (605) 384-3611
Fax: (605) 384-3232
Website:
Map and Directions
Authorized official contact:
Name: Slaba, Bryan
Phone: (605) 384-3611

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 10571 South Dakota

Profile Details

NPI number 1326030974
LBN Legal business name Wagner Community Memorial Hospital
DBA Doing business as Wagner Community Clinic
Authorized official Slaba, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 7th, 2017 - about 8 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 1326030974 NPPES
South Dakota MEDICAID 0100490
South Dakota MEDICAID 9580610
South Dakota MEDICAID 5500490
South Dakota Other 4997772
South Dakota MEDICAID 5800140
South Dakota Other 81315

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