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HEART HOSPITAL OF SOUTH DAKOTA LLC NPI 1023003969

NPI Profile

NPI: 1023003969
Provider Name: HEART HOSPITAL OF SOUTH DAKOTA LLC

Doing Business As: AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 43D0980646

Address:
4500 W 69TH ST
SIOUX FALLS, SD
ZIP 57108
Get Directions

Phone: (605) 977-7000

HEART HOSPITAL OF SOUTH DAKOTA LLC is a general acute care hospital in Sioux Falls, SD. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. HEART HOSPITAL OF SOUTH DAKOTA LLC NPI is 1023003969. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Heart Hospital Of South Dakota Llc.

The provider's business location address is:

4500 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-148
Phone: (605) 977-7000
Fax: (605) 977-7001

The provider's authorized official is Jean C White .
The authorized official title is Vice President Finance and has the following contact phone number (605) 977-7009.

The CLIA number assigned to this NPI record is 43D0980646 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital41953SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10100250MEDICAIDSOUTH DAKOTA
2430095MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
380095OTHERSOUTH DAKOTAWELLMARK
40542191MEDICAIDIOWA
5CJ5977MEDICARE PIN
6S7895MEDICARE PINSOUTH DAKOTA
75500250MEDICAIDSOUTH DAKOTA
8320460000MEDICAIDMINNESOTA
9=========00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

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