Innovative Procedural Center Llc
LBN: Innovative Procedural Center Llc
Innovative Procedural Center Llc is an health care organization with primary practice located at 1512 4Th St Ne , Watertown SD 57201-6824. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Innovative Procedural Center Llc can be contacted via phone (605) 884-0100, or through Retterath, Patrick L via phone (605) 884-0100.
Contact Information
Primary practice address
1512 4Th St Ne
Watertown SD 57201-6824
Phone: (605) 884-0100
Fax:
Website:
Authorized official contact:
Name: Retterath, Patrick L Doctor of Medicine (MD)
Phone: (605) 884-0100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 51560 | South Dakota |
Profile Details
| NPI number | 1184660151 |
|---|---|
| LBN Legal business name | Innovative Procedural Center Llc |
| DBA Doing business as | |
| Authorized official | Retterath, Patrick L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 22nd, 2010 - about 15 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 | 1184660151 | NPPES |
| South Dakota | Other | 81020 | BCBS - GROUP |
| South Dakota | MEDICAID | 610973000 | BCBS - GROUP |
| South Dakota | Other | P00188503 | BCBS - GROUP |
| South Dakota | MEDICAID | 5490390 | BCBS - GROUP |
| South Dakota | Other | 4N38IN | BCBS - GROUP |
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