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NPI Code Detail

MEDICARE: SPEARFISH REGIONAL HOSPITAL

MEDICARE: SPEARFISH REGIONAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital10566SD

General Provider Information

NPI Number : 1144276957
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEARFISH REGIONAL HOSPITAL
Provider Business Mailing Address
First Line : 1445 NORTH AVE
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1552
Country : US
Telephone Number : 605-644-4170
Fax Number : 605-644-4198
Provider Business Practice Location Address
First Line : 1445 NORTH AVE
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1552
Country : US
Telephone Number : 605-644-4170
Fax Number : 605-644-4198
Authorized Official
Title or Position : CEO
Name : MR. RICHARD ALAN GIESEL
Credential :
Telephone Number : 605-719-8706
Provider Enumeration Date : 05/25/2006
Last Update Date : 08/22/2020

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1710203401 — ANDREW DEAN VANOSDOL M.D.
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Directions to “SPEARFISH REGIONAL HOSPITAL ” Practice Location

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