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General NPI Number Information
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NPI Number | 1568416667
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Entity Type | Organization
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Legal Business Name | PHILIP HEALTH SERVICES, INC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 601 CHESTNUT ST
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City | KADOKA
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State | SD
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Zip | 57543-0460
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Country | US
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Telephone | 605-837-2257
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Fax | 605-837-2061
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Provider Business Mailing Address
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Address Line | PO BOX 460
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City | KADOKA
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State | SD
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Zip | 57543-0460
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Country | US
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Telephone | 605-837-2257
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Fax | 605-837-2061
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Authorized Official
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Title or Position | CEO
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Name | MR. MAUREEN CADWELL
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Credential |
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Telephone | 605-859-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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