Organization
LEWIS & CLARK SPECIALTY HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG DOORN (CEO)
(605) 665-5100
Entity
Organization
Contact information
Practice address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 665-5100
(605) 665-5200
Mailing address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 665-5100
(605) 665-5200
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
47834
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43D0997901
CLIA
SD
01
—
47834
SD DEPARTMENT OF HEALTH
SD
05
—
5508070
—
SD
Enumeration date
10/25/2005
Last updated
04/23/2015
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