Healthcare Provider Details

I. General information

NPI: 1184626962
Provider Name (Legal Business Name): HURON CLINIC FOUNDATION LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 4TH ST SE
HURON SD
57350-2509
US

IV. Provider business mailing address

111 4TH ST SE
HURON SD
57350-2509
US

V. Phone/Fax

Practice location:
  • Phone: 605-352-8691
  • Fax: 605-352-1617
Mailing address:
  • Phone: 605-352-8691
  • Fax: 605-352-8704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LEANNE KOPFMANN
Title or Position: CLINIC ADMINISTRATOR
Credential:
Phone: 605-352-8691