GEORGE A. NICHOLAS M.D. NPI 1619394491

NPI Information

NPI: 1619394491
Provider Name: GEORGE A. NICHOLAS, M.D.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
530 IOWA AVE SE
SUITE 106
HURON, SD
ZIP 57350
Phone: (605) 352-7711
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GEORGE A. NICHOLAS, M.D. is a primary care clinic center in Huron, SD. GEORGE A. NICHOLAS, M.D. NPI is 1619394491. The provider is registered as an organization entity type.

The provider's business location address is:

530 IOWA AVE SE
SUITE 106
HURON, SD
ZIP 57350-864
Phone: (605) 352-7711

The provider's authorized official is Bev Tschetter .
The authorized official title is Office Manager and has the following contact phone number (605) 352-7711.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/18/2014.

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	261QP2300X	Clinic/Center	Primary Care			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
1	S6002	MEDICARE PIN	SOUTH DAKOTA
2	D25502	MEDICARE UPIN	SOUTH DAKOTA
3	5603630	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: 5/5/2024

NPI Synchronization or Removal

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