- Enrollment id
- O20100708000960
- Enrollment state
- SD
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1457471757
- Multiple npi flag
- N
- Ccn
- 437008
- Associate id
- 2769393388
- Organization name
- HURON REGIONAL MEDICAL CENTER INC
- Incorporation date
- 1978-07-01
- Incorporation state
- SD
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 172 4TH ST SE
- City
- HURON
- State
- SD
- Zip code
- 573502510
- Practice location type
- HHA BRANCH