DOUGLAS COUNTY MEMORIAL HOSPITAL NPI 1003879958

NPI Information

NPI: 1003879958
Provider Name: DOUGLAS COUNTY MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: PRAIRIE HEALTH CLINIC - CORSICA
CLIA Number: 43D1048618
Address: 230 MAIN ST
CORSICA, SD
ZIP 57328
Phone: (605) 946-5959

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NPI Details

DOUGLAS COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Corsica, SD. DOUGLAS COUNTY MEMORIAL HOSPITAL NPI is 1003879958. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Health Clinic - Corsica.

The provider's business location address is:

230 MAIN ST
CORSICA, SD
ZIP 57328
Phone: (605) 946-5959
Fax: (605) 946-5616

The provider's authorized official is Heath R Brouwer .
The authorized official title is Ceo and has the following contact phone number (605) 946-5959.

The CLIA number assigned to this NPI record is 43D1048618 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 12/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	433426	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
2	5340310	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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