National Provider Identifier Database

SD HEALTH SERVICES LLC
Hospice Care, Community Based


Contact Information

SD HEALTH SERVICES LLC
175 RIVER VIEW DR STE A
GREEN RIVER, WY82935-4811
Phone: 307-875-7976
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for SD HEALTH SERVICES LLC

NPI Number 1912748765
Legal business name
LBN
SD HEALTH SERVICES LLC
Authorized official BRAD MIKESELL - (BOARD PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/05/2024
Last updated 06/05/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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