Healthcare Provider Details

I. General information

NPI: 1952371676
Provider Name (Legal Business Name): HOLY INFANT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 MAIN STREET
HOVEN SD
57450
US

IV. Provider business mailing address

512 MAIN STREET
HOVEN SD
57450
US

V. Phone/Fax

Practice location:
  • Phone: 605-948-2262
  • Fax: 605-948-2379
Mailing address:
  • Phone: 605-948-2262
  • Fax: 605-948-2379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: REBECCA HAAR
Title or Position: BUSINESS MANAGER
Credential:
Phone: 605-948-2262