HEART HOSPITAL OF SOUTH DAKOTA LLC NPI 1407109705

NPI Information

NPI: 1407109705
Provider Name: HEART HOSPITAL OF SOUTH DAKOTA LLC

Doing Business As: NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4520 W 69TH ST
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 977-5000
Get Directions

HEART HOSPITAL OF SOUTH DAKOTA LLC is a cardiovascular disease internal medicine in Sioux Falls, SD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART HOSPITAL OF SOUTH DAKOTA LLC NPI is 1407109705. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Central Heart A Division Of Avera Heart Hospital.

The provider's business location address is:

4520 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-148
Phone: (605) 977-5000
Fax: (605) 977-5377

The provider's authorized official is Jon C Soderholm .
The authorized official title is President and has the following contact phone number (605) 977-7005.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.

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	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	41953	SOUTH DAKOTA	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	41953	SOUTH DAKOTA	No
3	2086S0129X	Surgery	Vascular Surgery	41953	SOUTH DAKOTA	No
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		41953	SOUTH DAKOTA	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	41953	SOUTH DAKOTA	Yes

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

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