Provider Demographics
NPI:1003105941
Name:BENNETT COUNTY HOSPITAL AND NURSING HOME
Entity Type:Organization
Organization Name:BENNETT COUNTY HOSPITAL AND NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-685-6622
Mailing Address - Street 1:102 MAJOR ALLEN
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:SD
Mailing Address - Zip Code:57551-0070
Mailing Address - Country:US
Mailing Address - Phone:605-685-6622
Mailing Address - Fax:605-685-7766
Practice Address - Street 1:102 MAJOR ALLEN
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:SD
Practice Address - Zip Code:57551-0070
Practice Address - Country:US
Practice Address - Phone:605-685-6622
Practice Address - Fax:605-685-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access