=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700838117
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHILIP HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2006
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 503 W PINE ST
-----------------------------------------------------
City | PHILIP
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57567-3300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-859-2566
-----------------------------------------------------
Fax | 605-859-2948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 503 W PINE ST PO BOX 550
-----------------------------------------------------
City | PHILIP
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57567-3300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-859-2566
-----------------------------------------------------
Fax | 605-859-2948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MAUREEN CADWELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 605-859-2511
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------