LEWIS & CLARK SPECIALTY HOSPITAL LLC; NPI #1346539475

Contact Information

LEWIS & CLARK SPECIALTY HOSPITAL LLC

2601 FOX RUN PKWY
YANKTON, SD 57078-5341

Phone: 605-664-5300
Fax: 605-664-5301
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Magnetic Resonance Imaging (MRI)	261QM1200X

Indicates primary specialty

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NPI Profile & details for LEWIS & CLARK SPECIALTY HOSPITAL LLC

NPI Number 1346539475

LBN Legal business name LEWIS & CLARK SPECIALTY HOSPITAL LLC

Authorized official DOUG DOORN - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/29/2011

Last updated 04/23/2015 - About 11 years ago

Identifiers

SD	Medicaid	0108070
SD	Medicaid	5508070

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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