Healthcare Provider Details

I. General information

NPI: 1063509982
Provider Name (Legal Business Name): FREEMAN REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 EAST 8TH ST
FREEMAN SD
57029
US

IV. Provider business mailing address

510 EAST 8TH ST PO BOX 370
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 Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateSD

VIII. Authorized Official

Name: MARK MILLER
Title or Position: CFO
Credential:
Phone: 605-925-2112