Provider Demographics
NPI:1396820791
Name:PHILIP HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PHILIP HEALTH SERVICES, INC.
Other - Org Name:PHILIP HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-859-2511
Mailing Address - Street 1:503 W PINE ST
Mailing Address - Street 2:PO BOX 790
Mailing Address - City:PHILIP
Mailing Address - State:SD
Mailing Address - Zip Code:57567-3300
Mailing Address - Country:US
Mailing Address - Phone:605-859-2511
Mailing Address - Fax:605-859-3506
Practice Address - Street 1:503 W PINE ST
Practice Address - Street 2:
Practice Address - City:PHILIP
Practice Address - State:SD
Practice Address - Zip Code:57567-3300
Practice Address - Country:US
Practice Address - Phone:605-859-2511
Practice Address - Fax:605-859-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
SD10555251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD87065OtherBLUE CROSS BLUE SHIELD #
SD0171390Medicaid
SD437065Medicare ID - Type UnspecifiedPROVIDER #