Healthcare Provider Details

I. General information

NPI: 1003825738
Provider Name (Legal Business Name): COTEAU DES PRAIRIES HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ORCHARD DRIVE
SISSETON SD
57262-2398
US

IV. Provider business mailing address

205 ORCHARD DRIVE
SISSETON SD
57262-2398
US

V. Phone/Fax

Practice location:
  • Phone: 605-698-7647
  • Fax: 605-698-4626
Mailing address:
  • Phone: 605-698-7647
  • Fax: 605-698-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03653
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number60020
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number60020
License Number StateSD

VIII. Authorized Official

Name: CRAIG KANTOS
Title or Position: CEO
Credential:
Phone: 605-698-4601