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General NPI Number Information
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NPI Number | 1003825738
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Entity Type | Organization
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Legal Business Name | COTEAU DES PRAIRIES HOSPITAL
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 205 ORCHARD DRIVE
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City | SISSETON
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State | SD
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Zip | 57262-2398
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Country | US
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Telephone | 605-698-7647
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Fax | 605-698-4626
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Provider Business Mailing Address
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Address Line | 205 ORCHARD DRIVE
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City | SISSETON
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State | SD
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Zip | 57262-2398
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Country | US
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Telephone | 605-698-7647
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Fax | 605-698-4626
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Authorized Official
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Title or Position | CEO
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Name | CRAIG KANTOS
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Credential |
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Telephone | 605-698-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 60020
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03653
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 60020
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License Number State | SD
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