SACRED HEART HEALTH SERVICES NPI 1194228817

NPI Information

NPI: 1194228817
Provider Name: SACRED HEART HEALTH SERVICES

Doing Business As: AVERA MEDICAL GROUP WOUND CARE YANKTON

Classification: Registered Nurse - 163WW0000X
Entity Type: Organization

Specialization: Wound Care

Address:
409 SUMMIT ST STE 2500
YANKTON, SD
ZIP 57078
Phone: (605) 655-1710
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SACRED HEART HEALTH SERVICES is a wound care registered nurse in Yankton, SD. SACRED HEART HEALTH SERVICES NPI is 1194228817. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Wound Care Yankton.

The provider's business location address is:

409 SUMMIT ST STE 2500
YANKTON, SD
ZIP 57078-739
Phone: (605) 655-1710
Fax: (605) 655-1711

The provider's authorized official is Douglas R Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8321.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/31/2020.

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	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine			No
2	163WW0000X	Registered Nurse	Wound Care			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: 11/14/2023

NPI Synchronization or Removal

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