MISSOURI VALLEY RADIOLOGY LLC NPI 1275553067

NPI Information

NPI: 1275553067
Provider Name: MISSOURI VALLEY RADIOLOGY LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
800 E DAKOTA AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-3199
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MISSOURI VALLEY RADIOLOGY LLC is a diagnostic radiology radiology in Pierre, SD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MISSOURI VALLEY RADIOLOGY LLC NPI is 1275553067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 E DAKOTA AVE
PIERRE, SD
ZIP 57501-313
Phone: (605) 224-3199
Fax: (605) 945-3237

The provider's authorized official is Barry S Monfore .
The authorized official title is Owner And Provider and has the following contact phone number (605) 224-3199.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/21/2013.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	10025345700	MEDICAID	NEBRASKA
2	S101003	MEDICARE PIN	SOUTH DAKOTA
3	DE5611	OTHER		RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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