Sturgis Nutrition Program

LBN: Sturgis Nutrition Program
Sturgis Nutrition Program is an health care organization with primary practice located at 2015 Tumble Weed Trl , Spearfish SD 57783-8810. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Sturgis Nutrition Program can be contacted via phone (605) 642-6668, or through Rardon, Rocky via phone (605) 342-6668.

Contact Information

Primary practice address
2015 Tumble Weed Trl Spearfish SD 57783-8810
Phone: (605) 642-6668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rardon, Rocky MBA
Phone: (605) 342-6668

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1104379205
LBN Legal business name Sturgis Nutrition Program
DBA Doing business as
Authorized official Rardon, Rocky MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2016
Last updated Jul 26th, 2016 - about 9 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 1104379205 NPPES
South Dakota Other 12803549 PROVIDER NO.

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