{
"Npi": {
"NPI": "1710033220",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COTEAU DES PRAIRIES HOSPITAL, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "205 ORCHARD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SISSETON",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57262-2312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-698-7681",
"MailingAddressFaxNumber": "605-698-3493",
"FirstLinePracticeLocationAddress": "409 4TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILMOT",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57279-2214",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-938-4351",
"PracticeLocationAddressFaxNumber": "605-938-4481",
"EnumerationDate": "01/26/2007",
"LastUpdateDate": "08/14/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KANTOS",
"AuthorizedOfficialFirstName": "CRAIG",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR, CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "605-698-7647",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}