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SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY NPI 1104201599


NPI Information

NPI: 1104201599
Provider Name: SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 43D0897516

Address:
6301 S MINNESOTA AVE
SUITE 300
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 334-1930
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SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY is a clinic center in Sioux Falls, SD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY NPI is 1104201599. The provider is registered as an organization entity type.

The provider's business location address is:

6301 S MINNESOTA AVE
SUITE 300
SIOUX FALLS, SD
ZIP 57108-528
Phone: (605) 334-1930
Fax: (605) 334-0926

The provider's authorized official is Jaclyn Small .
The authorized official title is Manager and has the following contact phone number (605) 334-1930.

The CLIA number assigned to this NPI record is 43D0897516 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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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