MEDICARE: FALL RIVER HEALTH SERVICES

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
1	282NC0060X	Critical Access Hospital	47569	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	81322	OTHER	SD	WELLMARK

General Provider Information

NPI Number	:	1679544555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALL RIVER HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1201 HWY 71 SOUTH
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1374
Country	:	US
Telephone Number	:	605-745-3159
Fax Number	:	605-745-3957

Provider Business Practice Location Address
First Line	:	1201 HWY 71 SOUTH
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1374
Country	:	US
Telephone Number	:	605-745-3159
Fax Number	:	605-745-3957

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOHN B MILLER
Credential	:
Telephone Number	:	605-745-3159

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/29/2010

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Directions to “FALL RIVER HEALTH SERVICES ” Practice Location

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