Organization
HEART HOSPITAL OF SOUTH DAKOTA LLC
Active
Organization
HEART HOSPITAL OF SOUTH DAKOTA LLC
Active
Parent organization
HEART HOSPITAL OF SOUTH DAKOTA LLC
Other names
NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEART HOSPITAL OF SOUTH DAKOTA LLC
Authorized official
MR. JON C SODERHOLM (PRESIDENT)
(605) 977-7005
Entity
Organization
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41953
SD
207RC0001X
Clinical Cardiac Electrophysiology Physician
41953
SD
207RI0011X
Interventional Cardiology Physician
41953
SD
2086S0129X
Vascular Surgery Physician
41953
SD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
41953
SD
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up