Organization
BST ALEXANDRIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SIMONTON (PROVIDER ENROLLMENT)
(605) 541-1140
Entity
Organization
Contact information
Practice address
6600 STATE HIGHWAY 29 S, ALEXANDRIA, MN 56308-6196
(320) 759-3154
(844) 286-8720
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
04/29/2022
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