- Enrollment id
- O20101014000798
- Enrollment state
- SD
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033239587
- Multiple npi flag
- N
- Ccn
- 431506
- 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