Healthcare Provider Details
I. General information
NPI: 1154312429
Provider Name (Legal Business Name): HURON REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2005
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
172 4TH ST SE
HURON SD
57350-2510
US
IV. Provider business mailing address
172 4TH ST SE
HURON SD
57350-2510
US
V. Phone/Fax
- Phone: 605-353-6200
- Fax: 605-353-6506
- Phone: 605-353-6200
- Fax: 605-353-6506
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | 52113 |
| License Number State | SD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NR1301X |
| Taxonomy | Rural Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERICK
LARSON
Title or Position: CEO
Credential:
Phone: 605-353-6200