Healthcare Provider Details
I. General information
NPI: 1447780796
Provider Name (Legal Business Name): SIOUX FALLS SPECIALTY HOSPITAL, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2017
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 SOUTH MINNESOTA AVE
SIOUX FALLS SD
57108
US
IV. Provider business mailing address
910 E 20TH ST
SIOUX FALLS SD
57105-1012
US
V. Phone/Fax
- Phone: 605-444-8860
- Fax: 605-444-8861
- Phone: 605-444-8289
- Fax: 605-444-8431
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | 10583 |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
B
CURD
Title or Position: CEO
Credential: MD
Phone: 605-334-6730