1316946809 NPI number — SIOUX FALLS SPECIALTY HOSPITAL, LLP

Table of content: (NPI 1316946809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316946809 NPI number — SIOUX FALLS SPECIALTY HOSPITAL, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIOUX FALLS SPECIALTY HOSPITAL, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SIOUX FALLS SURGICAL HOSPITAL, LLP
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316946809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
910 E 20TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SIOUX FALLS
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57105-1012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-334-6730
Provider Business Mailing Address Fax Number:
605-334-8096

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
910 E 20TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57105-1012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-334-6730
Provider Business Practice Location Address Fax Number:
605-334-8096
Provider Enumeration Date:
07/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CURD
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
BLAKE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
605-334-6730

Provider Taxonomy Codes

  • Taxonomy code: 284300000X , with the licence number:  10583 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0982892 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1316946809 . This is a "MEDICAL MUTUAL INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: F26431 . This is a "AMERICA'S PPO ARAZ" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0108010 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5Z72HSI . This is a "BLUE CROSS OF MINNESOTA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: F228752 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 030920251 . This is a "PRIMEWEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 142422800 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 149553CF . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 57105 . This is a "TRICARE WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 300845 . This is a "UCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01013115 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80090 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 18599 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27418 . This is a "SANFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5000213 . This is a "MEDICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5508010 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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