National Provider Identifier Database

LEWIS CLARK SPECIALTY HOSPITAL LLC
Magnetic Resonance Imaging (MRI)


Contact Information

LEWIS & CLARK SPECIALTY HOSPITAL LLC
2601 FOX RUN PKWY
YANKTON, SD57078-5341
Phone: 605-664-5300
Fax: 605-664-5301
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for LEWIS & CLARK SPECIALTY HOSPITAL LLC

NPI Number 1346539475
Legal business name
LBN
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Authorized official DOUG DOORN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 03/29/2011
Last updated 04/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • SD Medicaid: 0108070
  • SD Medicaid: 5508070

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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