Organization
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Active
Parent organization
LEWIS & CLARK SPECIALTY HOSPITAL LLC
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
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 664-5300
(605) 664-5301
Mailing address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 664-5300
(605) 664-5301
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108070
—
SD
05
—
5508070
—
SD
Enumeration date
03/29/2011
Last updated
04/23/2015
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