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SOUTH DAKOTA ACHIEVE NPI 1376675785


NPI Information

NPI: 1376675785
Provider Name: SOUTH DAKOTA ACHIEVE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 43D2200073

Address:
4100 S WESTERN AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 336-7100
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SOUTH DAKOTA ACHIEVE is a developmental disabilities clinic center in Sioux Falls, SD. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). SOUTH DAKOTA ACHIEVE NPI is 1376675785. The provider is registered as an organization entity type.

The provider's business location address is:

4100 S WESTERN AVE
SIOUX FALLS, SD
ZIP 57105-620
Phone: (605) 336-7100

The provider's authorized official is Anne Rieck Mcfarland .
The authorized official title is President And Ceo and has the following contact phone number (605) 336-7100.

The CLIA number assigned to this NPI record is 43D2200073 - other - community support provide with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesSOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10180120MEDICAIDSOUTH 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

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