| Coteau Des Prairies Health Care System - Rosholt Clinic | |
|
116 W. Main Street Rosholt SD 57260-0000 | |
| (605) 537-4244 | |
| (605) 537-4525 |
| Full Name | Coteau Des Prairies Health Care System - Rosholt Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 W. Main Street, Rosholt, South Dakota |
| Authorized Official Name and Position | Craig Kantos (CEO) |
| Authorized Official Contact | 6056984601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coteau Des Prairies Health Care System - Rosholt Clinic 205 Orchard Drive Sisseton SD 57262-2398 Ph: (605) 698-7647 | Coteau Des Prairies Health Care System - Rosholt Clinic 116 W. Main Street Rosholt SD 57260-0000 Ph: (605) 537-4244 |
| NPI Number | 1588978589 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 8022926468 |
|---|---|
| Medicare Enrollment ID | O20151201002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588978589 | NPI | - | NPPES |
| 5160 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 60020 (South Dakota) | Primary |
Kass Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Main, Rosholt, SD 57260 Phone: 605-537-4244 |