Healthcare Provider Details

I. General information

NPI: 1669477576
Provider Name (Legal Business Name): ROSEBUD HEALTHCARE SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INVESTMENT AVENUE
WHITE RIVER SD
57579-0310
US

IV. Provider business mailing address

PO BOX 310
WHITE RIVER SD
57579-0310
US

V. Phone/Fax

Practice location:
  • Phone: 605-259-3161
  • Fax: 605-259-3106
Mailing address:
  • Phone: 605-259-3161
  • Fax: 605-259-3106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10710
License Number StateSD

VIII. Authorized Official

Name: MRS. KAREN K SCHMIDT
Title or Position: ADMINISTRATOR
Credential:
Phone: 605-259-3161