| Organization Name: | DOUGLAS COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1558464446 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE J NEUGEBAUER (CLINIC OFFICE MANAGER) |
| Mailing Address: | 301 Main Street Stickney |
| State: | SD US |
| Postal Code: | 573750014 |
| Phone Number: | 6057324508 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |