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Contact Information

OUR HOME INC
40354 210TH ST
HURON, SD57350-7928
 Phone: 605-352-9098
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for OUR HOME INC

NPI # 1093902132
LBN Legal business name OUR HOME INC
Authorized official STEVE GUBBRUD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2007
Last updated 10/03/2007 - About 19 years ago
Identifiers
SD License # R97
SD Medicaid 5169110
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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