Healthcare Provider Details

I. General information

NPI: 1558464446
Provider Name (Legal Business Name): DOUGLAS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MAIN STREET
STICKNEY SD
57375-0014
US

IV. Provider business mailing address

PO BOX 14 301 MAIN STREET
STICKNEY SD
57375-0014
US

V. Phone/Fax

Practice location:
  • Phone: 605-732-4508
  • Fax:
Mailing address:
  • Phone: 605-732-4508
  • Fax: 605-732-4508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY J REIMNITZ
Title or Position: CREDENTIALING
Credential: AM
Phone: 605-724-2159