Destiny Healthcare International, Inc
LBN: Destiny Healthcare International, Inc
Destiny Healthcare International, Inc is an health care organization with primary practice located at 1417 S Minnesota Ave , Sioux Falls SD 57105-1715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Destiny Healthcare International, Inc can be contacted via phone (605) 339-3378, or through Kidman, Brian K via phone (605) 339-3378.
Contact Information
Primary practice address
1417 S Minnesota Ave
Sioux Falls SD 57105-1715
Phone: (605) 339-3378
Fax: (605) 339-0710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1799 | South Dakota |
Profile Details
| NPI number | 1356369995 |
|---|---|
| LBN Legal business name | Destiny Healthcare International, Inc |
| DBA Doing business as | |
| Authorized official | Kidman, Brian K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356369995 | NPPES |
| South Dakota | MEDICAID | 6701870 | |
| South Dakota | MEDICAID | 5604647 |
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