Provider Demographics
NPI:1386773158
Name:FALL RIVER HEALTH SERVICES
Entity type:Organization
Organization Name:FALL RIVER HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-745-3159
Mailing Address - Street 1:209 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57747-1374
Mailing Address - Country:US
Mailing Address - Phone:605-745-3159
Mailing Address - Fax:605-745-3957
Practice Address - Street 1:209 N 16TH ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747-1374
Practice Address - Country:US
Practice Address - Phone:605-745-3159
Practice Address - Fax:605-745-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4997129OtherWELLMARK ER PHYSICIAN
SD9211641OtherDAKOTACARE ER PHYSICIAN