SC CLINICAL LLC NPI 1720732589

NPI Information

  • NPI: 1720732589
  • Provider Name: SC CLINICAL LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 43D1058328
  • Address: 213 E HUSTAN AVE
    FORT PIERRE, SD
    ZIP 57532
  • Phone: (605) 609-7873

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NPI Details

SC CLINICAL LLC is a family medicine in Fort Pierre, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SC CLINICAL LLC NPI is 1720732589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

213 E HUSTAN AVE
FORT PIERRE, SD
ZIP 57532-103
Phone: (605) 609-7873
Fax: (605) 223-9201

The provider's authorized official is Shane Clarambeau .
The authorized official title is Owner/authorized Official and has the following contact phone number (605) 222-7559.

The CLIA number assigned to this NPI record is 43D1058328 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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