Sanford School Of Medicine Of The University Of South Dakota Clinical

LBN: Sanford School Of Medicine Of The University Of South Dakota Clinical
Sanford School Of Medicine Of The University Of South Dakota Clinical is an health care organization with primary practice located at 2501 W 22Nd St , Sioux Falls SD 57105-1305. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Sanford School Of Medicine Of The University Of South Dakota Clinical can be contacted via phone (605) 333-5399, or through Koch, Michael R via phone (605) 336-3230.

Contact Information

Primary practice address
2501 W 22Nd St Sioux Falls SD 57105-1305
Fax: (605) 333-5399
Website:
Authorized official contact:
Name: Koch, Michael R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X South Dakota

Profile Details

NPI number 1457578767
LBN Legal business name Sanford School Of Medicine Of The University Of South Dakota Clinical
DBA Doing business as
Authorized official Koch, Michael R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 3rd, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457578767 NPPES
South Dakota MEDICAID 5580870
South Dakota Other 0077920
South Dakota MEDICAID 0788018

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