Healthcare Provider Details

I. General information

NPI: 1255347464
Provider Name (Legal Business Name): DOUGLAS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E MAIN ST
CORSICA SD
57328
US

IV. Provider business mailing address

708 8TH ST
ARMOUR SD
57313-2102
US

V. Phone/Fax

Practice location:
  • Phone: 605-946-5690
  • Fax: 605-946-5616
Mailing address:
  • Phone: 605-724-2970
  • Fax: 605-724-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number100-1899
License Number StateSD

VIII. Authorized Official

Name: HEATH BROUWER
Title or Position: ADMIN
Credential: CEO
Phone: 605-724-2151