Wagner Community Memorial Hospital
NPI 1740306992 · Family Medicine Physician · Wagner, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagner Community Memorial Hospital is a Family Medicine Physician organization in Wagner, SD (NPI 1740306992).
Provider details
- NPI number
- 1740306992
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernadette Koupal, Bus. Office Manager(605) 384-3611
- License
- 10571 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Wagner Community Clinic Avera
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2017-03-07
Frequently asked questions
- What is Wagner Community Memorial Hospital's NPI number?
- Wagner Community Memorial Hospital's National Provider Identifier (NPI) is 1740306992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Community Memorial Hospital?
- Wagner Community Memorial Hospital is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wagner Community Memorial Hospital located?
- Wagner Community Memorial Hospital's practice location on file with NPPES is 513 3rd St Sw, Wagner, SD 57380-9675.
- What is Wagner Community Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Wagner Community Memorial Hospital is (605) 384-3418.
- Does Wagner Community Memorial Hospital accept Medicare?
- Wagner Community Memorial Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagner Community Memorial Hospital?
- The authorized official listed on Wagner Community Memorial Hospital's NPPES record is Bernadette Koupal, Bus. Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Community Memorial Hospital's NPI active?
- Yes — Wagner Community Memorial Hospital's NPI (1740306992) is active in the NPPES registry as of the last update on 2017-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.