Organization
HEART HOSPITAL OF SOUTH DAKOTA LLC
Active
Other names
Avera Heart Hospital of South Dakota LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PEDERSON (CFO)
(605) 977-7009
Entity
Organization
Contact information
Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Mailing address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
41953
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100250
—
SD
05
—
0542191
—
IA
05
—
320460000
—
MN
05
—
5500250
—
SD
01
—
80095
WELLMARK
SD
Enumeration date
09/16/2005
Last updated
11/25/2025
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