Provider Demographics
NPI:1669477576
Name:ROSEBUD HEALTHCARE SYSTEMS INC.
Entity type:Organization
Organization Name:ROSEBUD HEALTHCARE SYSTEMS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-259-3161
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER
Mailing Address - State:SD
Mailing Address - Zip Code:57579-0310
Mailing Address - Country:US
Mailing Address - Phone:605-259-3161
Mailing Address - Fax:605-259-3106
Practice Address - Street 1:INVESTMENT AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE RIVER
Practice Address - State:SD
Practice Address - Zip Code:57579-0310
Practice Address - Country:US
Practice Address - Phone:605-259-3161
Practice Address - Fax:605-259-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10710314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0151243Medicaid