# PURE HEALTHCARE OF SOUTH DAKOTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497403646
- **Authorized official:** JOSHUA T TANDY (DIRECTOR)
- **Authorized official phone:** (801) 590-9267

## Contact information

- **Practice address:** 25 1ST AVE SW STE A, WATERTOWN, SD 57201-3507
- **Practice address phone:** (801) 590-9267
- **Mailing address:** 4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
- **Mailing address phone:** (801) 590-9267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 09/11/2024