- Enrollment id
- O20120411000788
- Enrollment state
- SD
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003825738
- Multiple npi flag
- N
- Ccn
- 437067
- Associate id
- 8022926468
- Organization name
- COTEAU DES PRAIRIES HOSPITAL
- Doing business as name
- COTEAU DES PRAIRIES HOSPITAL HOME CARE
- Incorporation date
- 1963-09-17
- Incorporation state
- SD
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 205 ORCHARD DR
- City
- SISSETON
- State
- SD
- Zip code
- 572622398