Healthcare Provider Details
I. General information
NPI: 1003818006
Provider Name (Legal Business Name): FREEMAN REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2005
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 EAST 8TH STREET BOX 370
FREEMAN SD
57029
US
IV. Provider business mailing address
510 EAST 8TH STREET PO BOX 370
FREEMAN SD
57029
US
V. Phone/Fax
- Phone: 605-925-4000
- Fax: 605-925-2137
- Phone: 605-925-4000
- Fax: 605-925-2137
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | 10541 |
| License Number State | SD |
VIII. Authorized Official
Name:
PHILLIP
LEE
HUSHER
Title or Position: CFO
Credential:
Phone: 605-925-2112