Healthcare Provider Details

I. General information

NPI: 1023143005
Provider Name (Legal Business Name): SIOUX FALLS SPECIALTY HOSPITAL LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E 20TH ST
SIOUX FALLS SD
57105-1012
US

IV. Provider business mailing address

910 E 20TH ST
SIOUX FALLS SD
57105-1012
US

V. Phone/Fax

Practice location:
  • Phone: 605-334-6730
  • Fax: 605-334-8096
Mailing address:
  • Phone: 605-334-6730
  • Fax: 605-334-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1001872
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number10583
License Number StateSD

VIII. Authorized Official

Name: DR. RICHARD BLAKE CURD
Title or Position: CEO
Credential: M.D.
Phone: 605-334-6730