Provider Demographics
NPI:1427145119
Name:LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION
Entity type:Organization
Organization Name:LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-583-2226
Mailing Address - Street 1:600 BILLARS ST
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND
Mailing Address - State:SD
Mailing Address - Zip Code:57059-2026
Mailing Address - Country:US
Mailing Address - Phone:605-583-2226
Mailing Address - Fax:605-583-4557
Practice Address - Street 1:600 BILLARS ST
Practice Address - Street 2:
Practice Address - City:SCOTLAND
Practice Address - State:SD
Practice Address - Zip Code:57059-2026
Practice Address - Country:US
Practice Address - Phone:605-583-2226
Practice Address - Fax:605-583-4557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD43Z317Medicare Oscar/Certification