NPI 1407109705 · live from the CMS NPI Registry
Heart Hospital Of South Dakota LLC
Internal Medicine, Cardiovascular Disease in Sioux Falls, SD. National Provider Identifier 1407109705, active.
NPI record
| NPI | 1407109705 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 4520 W 69th St, Sioux Falls, SD 57108 |
| Practice phone | 605-977-5000 |
| Mailing address | 4500 W 69th St, Sioux Falls, SD 57108 |
| Enumerated | October 24, 2012 |
| Last updated | October 24, 2012 |
| Authorized official | Jon Soderholm, President |
| Other names | North Central Heart A Division Of Avera Heart Hospital |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology | 207RC0001X | 41953 (SD) |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 41953 (SD) |
| 2086S0129X | 41953 (SD) | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 41953 (SD) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 41953 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.