South Dakota Developmental Center in Redfield - Intermediate Care Facility, Intellectual Disabilities
South Dakota Developmental Center - NPI 1548391022
South Dakota Developmental Center is a Intermediate Care Facility, Intellectual Disabilities in Redfield, South Dakota. South Dakota Developmental Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for South Dakota Developmental Center is 1548391022. The last update date is 2023-07-25.
South Dakota Developmental Center's current location address is 17267 W 3rd St, Redfield, South Dakota. You can contact this provider via phone number 6054724231 and fax number 6054724439. The mailing address for South Dakota Developmental Center is 17267 W 3rd St, Redfield, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Dakota Developmental Center |
|---|---|
| Address | 17267 W 3rd St, Redfield, South Dakota |
| Phone Number | 6054724231 |
| Fax Number | 6054724439 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Bruley Rae Teagan |
| Credentials | PHARMD |
| Telephone Number | 6054724231 |
NPI Number Detail
| NPI Number | 1548391022 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2023-07-25 |
Provider Mailing Address Detail
| Address | 17267 W 3rd St |
|---|---|
| City | Redfield |
| State | South Dakota (SD) |
| Post Code | 574691001 |
| Phone Number | 6054724231 |
| Fax Number | 6054724439 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 169020 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Dakota Developmental Center by the Centers for Medicare & Medicaid Services?
The South Dakota Developmental Center has been issued the NPI (National Provider Identifier) 1548391022 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of South Dakota Developmental Center?
The South Dakota Developmental Center is situated at 17267 W 3Rd St, in the city of Redfield, state of SD, with the zip code 574691001.
What is South Dakota Developmental Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Dakota Developmental Center is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548391022 to South Dakota Developmental Center?
The South Dakota Developmental Center received its 1548391022 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding South Dakota Developmental Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Dakota Developmental Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-25.