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Contact Information

EMBRACE CLEAR LAKE LLC
210 3RD AVE SOUTH
CLEAR LAKE, SD57226
 Phone: 605-874-2230
 Fax: 605-657-0054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EMBRACE CLEAR LAKE LLC

NPI # 1639948482
LBN Legal business name EMBRACE CLEAR LAKE LLC
Authorized official BRIAN PROUTY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2023
Last updated 12/21/2023 - About 2 years ago
Identifiers n/a
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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