Healthcare Provider Details

I. General information

NPI: 1386891349
Provider Name (Legal Business Name): BENNETT COUNTY HOSPITAL AND NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MAJOR ALLEN ST
MARTIN SD
57551-0070
US

IV. Provider business mailing address

PO BOX 70
MARTIN SD
57551-0070
US

V. Phone/Fax

Practice location:
  • Phone: 605-685-6622
  • Fax: 605-685-1166
Mailing address:
  • Phone: 605-685-6622
  • Fax: 605-685-1166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CHRISTENSEN
Title or Position: CEO
Credential:
Phone: 605-685-6622