LEWIS & CLARK SPECIALTY HOSPITAL LLC NPI 1487644035

NPI Information

NPI: 1487644035
Provider Name: LEWIS & CLARK SPECIALTY HOSPITAL LLC
Classification: Special Hospital - 284300000X
Entity Type: Organization

CLIA Number: 43D2198929

Address:
2601 FOX RUN PKWY
YANKTON, SD
ZIP 57078
Phone: (605) 665-5100
Get Directions

LEWIS & CLARK SPECIALTY HOSPITAL LLC is a special hospital in Yankton, SD. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. LEWIS & CLARK SPECIALTY HOSPITAL LLC NPI is 1487644035. The provider is registered as an organization entity type.

The provider's business location address is:

2601 FOX RUN PKWY
YANKTON, SD
ZIP 57078-341
Phone: (605) 665-5100
Fax: (605) 665-5200

The provider's authorized official is Doug Doorn .
The authorized official title is Ceo and has the following contact phone number (605) 665-5100.

The CLIA number assigned to this NPI record is 43D2198929 - other - chemical dependency treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 4/23/2015.

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	284300000X	Special Hospital		47834	SOUTH DAKOTA	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	47834	OTHER	SOUTH DAKOTA	SD DEPARTMENT OF HEALTH
2	5508070	MEDICAID	SOUTH DAKOTA
3	43D0997901	OTHER	SOUTH DAKOTA	CLIA
4	430096	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA

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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