PRAIRIE STATES SURGICAL CENTER LLC NPI 1427009034

NPI Information

NPI: 1427009034
Provider Name: PRAIRIE STATES SURGICAL CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2908 E 26TH ST STE B
SIOUX FALLS, SD
ZIP 57103
Phone: (605) 336-2638
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PRAIRIE STATES SURGICAL CENTER LLC is an ambulatory surgical clinic center in Sioux Falls, SD. PRAIRIE STATES SURGICAL CENTER LLC NPI is 1427009034. The provider is registered as an organization entity type.

The provider's business location address is:

2908 E 26TH ST STE B
SIOUX FALLS, SD
ZIP 57103-034
Phone: (605) 336-2638
Fax: (605) 334-3500

The provider's authorized official is Susan M Carley .
The authorized official title is Administrator and has the following contact phone number (605) 336-2638.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 4/29/2010.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	47078	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	81017	OTHER	SOUTH DAKOTA	BLUE CROSS
2	=========	OTHER	SOUTH DAKOTA	TAX ID
3	826730800	MEDICAID	MINNESOTA
4	7Y49PR	OTHER	MINNESOTA	BLUE CROSS
5	=========00	MEDICAID	NEBRASKA
6	0550558	MEDICAID	IOWA
7	S8040	MEDICARE PIN	SOUTH DAKOTA
8	5490300	MEDICAID	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

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