Healthcare Provider Details

I. General information

NPI: 1922212513
Provider Name (Legal Business Name): FREEMAN REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 EAST 8TH STREET
FREEMAN SD
57029
US

IV. Provider business mailing address

PO BOX 370 510 EAST 8TH STREET
FREEMAN SD
57029
US

V. Phone/Fax

Practice location:
  • Phone: 605-925-4000
  • Fax: 605-925-2137
Mailing address:
  • Phone: 605-925-4000
  • Fax: 605-925-2137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number10541
License Number StateSD

VIII. Authorized Official

Name: MARK MILLER
Title or Position: CFO
Credential:
Phone: 605-925-4000