Wagner Community Memorial Hospital

LBN: Wagner Community Memorial Hospital
Wagner Community Memorial Hospital is an health care organization with primary practice located at 513 3Rd St Sw , Wagner SD 57380-0280. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Long Term Care Hospital. Hospital Units / Medicare Defined Swing Bed Unit is 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 57380-0280
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
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 10571 South Dakota
Hospitals / Long Term Care Hospital 282E00000X 10571 South Dakota

Profile Details

NPI number 1629135645
LBN Legal business name Wagner Community Memorial Hospital
DBA Doing business as
Authorized official Slaba, Bryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 2007
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 1629135645 NPPES
South Dakota MEDICAID 1007417
South Dakota Other 8Z1315

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