Wagner Community Memorial Hospital, NPI 1629135645
Medicare Defined Swing Bed Hospital Unit in Wagner, SD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629135645
NPI Entity Type Organization
Provider Name Wagner Community Memorial Hospital
Subpart of Organization Wagner Community Memorial Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 513 3rd St Sw, Wagner, SD, US
Provider Mailing Address 513 3rd St Sw, Po Box 280, Wagner, SD, US, 573800280
Is Sole Proprietor? No
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Organization Official

Official Name MR. Bryan Slaba
Official Position CEO
Phone 605-384-3611

Primary Taxonomy

Taxonomy Code

275N00000X

Taxonomy Name Medicare Defined Swing Bed Hospital Unit
Classification

Medicare Defined Swing Bed Unit

Group

Hospital Units

License No. 10571
License State SD
Description A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Business Address

Wagner Community Memorial Hospital
513 3rd St Sw

Wagner, SD, US

Phone: 605-384-3611
Fax: 605-384-3232

Mailing Address

Wagner Community Memorial Hospital
513 3rd St Sw
Po Box 280
Wagner, SD, US
ZIP 573800280
Phone: 605-384-3611
Fax: 605-384-3232

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282E00000X

Hospitals

Long Term Care Hospital

10571 SD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1007417 SD MEDICAID 05
8Z1315 SD BC SLTC 01

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D.O Ryan Marx Hyde

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Student in an Organized Health Care Education/Training Program

1205 S Grange Ave Ste 407

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