Wagner Community Memorial Hospital
NPI 1740306992ActiveOrganization· Family Medicine· Wagner, SD
Family Medicine in Wagner, South Dakota, registered in NPPES in March 2007. The authorized official on file is Bernadette R. Koupal, Bus. Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740306992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Mar 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 10571 | SD |
| Physician Assistant | 363A00000X | 10571 | SD |
| Nurse Practitioner, Family | 363LF0000X | 10571 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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