Organization
NORTH CENTRAL HEART INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A NAGELHOUT MD (PRESIDENT)
(605) 977-5000
Entity
Organization
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0142
SD
207RC0001X
Clinical Cardiac Electrophysiology Physician
0142
SD
207RI0011X
Interventional Cardiology Physician
0142
SD
2086S0129X
Vascular Surgery Physician
0142
SD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0142
SD
363L00000X
Nurse Practitioner
0142
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040
SD BCBS
SD
05
—
0920074
—
IA
01
—
14973
UCARE
MN
05
—
151712100
—
MN
01
—
538R2NO
MN BCBS FACILITIES
MN
01
—
53983
IA BC BS
IA
01
—
91057NO
MN BC BS
MN
01
—
9236252
DAKOTACARE
SD
Enumeration date
10/10/2005
Last updated
02/20/2012
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