Healthcare Provider Details

I. General information

NPI: 1871884239
Provider Name (Legal Business Name): FREEMAN REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S WALNUT ST
FREEMAN SD
57029-2033
US

IV. Provider business mailing address

PO BOX 370
FREEMAN SD
57029-0370
US

V. Phone/Fax

Practice location:
  • Phone: 605-925-4219
  • Fax:
Mailing address:
  • Phone: 605-925-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEIL FRIZZELL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 605-925-4000