| Coteau Des Prairies Hospital, Inc | |
|
409 4th St Wilmot SD 57279-2214 | |
| (605) 938-4351 | |
| (605) 938-4481 |
| Full Name | Coteau Des Prairies Hospital, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 409 4th St, Wilmot, South Dakota |
| Authorized Official Name and Position | Craig Kantos (ADMINISTRATOR CEO) |
| Authorized Official Contact | 6056987647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coteau Des Prairies Hospital, Inc 205 Orchard Dr Sisseton SD 57262-2312 Ph: (605) 698-7647 | Coteau Des Prairies Hospital, Inc 409 4th St Wilmot SD 57279-2214 Ph: (605) 938-4351 |
| NPI Number | 1700925153 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700925153 | NPI | - | NPPES |
| 05160 | Medicaid | ND | |
| 3070116201 | Other | PRIMEWEST | |
| 0030064 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Coteau Des Prairies Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 4th St, Wilmot, SD 57279 Phone: 605-938-4351 Fax: 605-938-4481 |