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NPI Code Detail

MEDICARE: CHILDREN'S CARE HOSPITAL AND SCHOOL

MEDICARE: CHILDREN'S CARE HOSPITAL AND SCHOOL
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
1261QR0400XRehabilitation Clinic/Center10562SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28CH02OTHERBCBS
39173610OTHERDAKOTACARE
421135OTHERSANFORD

General Provider Information

NPI Number : 1174722169
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S CARE HOSPITAL AND SCHOOL
Provider Business Mailing Address
First Line : 2501 W 26TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-2446
Country : US
Telephone Number : 605-444-9500
Fax Number : 605-444-9601
Provider Business Practice Location Address
First Line : 7110 JORDAN DRIVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-8738
Country : US
Telephone Number : 605-791-7400
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. DIANNA RAJSKI
Credential :
Telephone Number : 605-444-9500
Provider Enumeration Date : 07/11/2007
Last Update Date : 08/28/2013

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Directions to “CHILDREN'S CARE HOSPITAL AND SCHOOL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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