Provider Demographics
NPI:1457344954
Name:BD REHAB, INC.
Entity type:Organization
Organization Name:BD REHAB, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-339-4244
Mailing Address - Street 1:800 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-5322
Mailing Address - Country:US
Mailing Address - Phone:605-339-4244
Mailing Address - Fax:605-339-4256
Practice Address - Street 1:800 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-5322
Practice Address - Country:US
Practice Address - Phone:605-339-4244
Practice Address - Fax:605-339-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9161160Medicaid
SD4017490001Medicare ID - Type Unspecified