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Organization
INNOVATIVE PROCEDURAL CENTER LLC
Active
Organization
INNOVATIVE PROCEDURAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN J BECK DO (OWNER/PROVIDER)
(605) 884-0100
Entity
Organization
Contact information
Practice address
1512 4TH ST NE, WATERTOWN, SD 57201-6824
(605) 884-0100
Mailing address
1512 4TH ST NE, WATERTOWN, SD 57201-6824
(605) 884-0100
(605) 753-0017
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
51560
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4N38IN
BCBS - GROUP
MN
05
—
5490390
—
SD
05
—
610973000
—
MN
01
—
81020
BCBS - GROUP
SD
01
—
P00188503
RAILROAD MEDICARE
SD
Enumeration date
06/20/2006
Last updated
07/17/2025
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