Provider Demographics
NPI:1831206820
Name:FREEMAN REGIONAL HEALTH SERVICES
Entity type:Organization
Organization Name:FREEMAN REGIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-925-2112
Mailing Address - Street 1:510 E 8TH ST
Mailing Address - Street 2:PO BOX 370
Mailing Address - City:FREEMAN
Mailing Address - State:SD
Mailing Address - Zip Code:57029
Mailing Address - Country:US
Mailing Address - Phone:605-925-4000
Mailing Address - Fax:605-925-2137
Practice Address - Street 1:510 E 8TH ST
Practice Address - Street 2:
Practice Address - City:FREEMAN
Practice Address - State:SD
Practice Address - Zip Code:57029
Practice Address - Country:US
Practice Address - Phone:605-925-4000
Practice Address - Fax:605-925-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10621314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0150050Medicaid
SD0150050Medicaid
SD435112Medicare PIN