MEDICARE: HURON REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	50726	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841271186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HURON REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	306 PRAIRIE AVE SW
Second Line	:
City	:	DE SMET
State	:	SD
Zip	:	57231-2285
Country	:	US
Telephone Number	:	605-854-3329
Fax Number	:	605-854-9161

Provider Business Practice Location Address
First Line	:	306 PRAIRIE AVE SW
Second Line	:
City	:	DE SMET
State	:	SD
Zip	:	57231-2285
Country	:	US
Telephone Number	:	605-854-3329
Fax Number	:	605-854-9161

Authorized Official
Title or Position	:	CEO
Name	:	JOHN L SINGLE
Credential	:
Telephone Number	:	605-353-6200

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	06/16/2008

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Directions to “HURON REGIONAL MEDICAL CENTER ” Practice Location

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