Healthcare Provider Details

I. General information

NPI: 1336861954
Provider Name (Legal Business Name): HURON REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 4TH ST SE
HURON SD
57350-2590
US

IV. Provider business mailing address

172 4TH ST SE
HURON SD
57350-2590
US

V. Phone/Fax

Practice location:
  • Phone: 605-353-6565
  • Fax: 605-353-6300
Mailing address:
  • Phone: 605-353-6565
  • Fax: 605-353-6300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ERICK LARSON
Title or Position: CEO
Credential:
Phone: 605-353-6565