Organization
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Active
Parent organization
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Other names
Lewis & Clark Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Authorized official
MR. DOUG DOORN (CEO)
(605) 665-5100
Entity
Organization
Contact information
Practice address
2525 FOX RUN PARKWAY, STE 200, YANKTON, SD 57078-5371
(605) 260-2100
(605) 665-5200
Mailing address
2525 FOX RUN PARKWAY, STE 200, YANKTON, SD 57078-5371
(605) 260-2100
(605) 665-5200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108070
—
SD
01
—
430096
MEDICARE
SD
01
—
47834
DEPARTMENT OF HEALTH
SD
05
—
5508070
—
SD
Enumeration date
10/09/2012
Last updated
04/23/2015
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