| Organization Name: | WAGNER COMMUNITY MEMORIAL HOSPITAL |
| NPI Number: | 1326030974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN SLABA (CEO) |
| Mailing Address: | 513 3rd St Sw Wagner |
| State: | SD US |
| Postal Code: | 573809675 |
| Phone Number: | 6053843611 |
| Fax Number: | 6053843232 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 10571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |