Organization
DAKOTA PLAINS SURGICAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEB PEDERSON RN (DIRECTOR OF NURSING)
(605) 226-9706
Entity
Organization
Contact information
Practice address
701 8TH AVE NW, ABERDEEN, SD 57401-1803
(605) 225-3300
(605) 225-3877
Mailing address
701 8TH AVE NW, ABERDEEN, SD 57401-1803
(605) 225-3300
(605) 225-3877
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
10584
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108040
—
SD
01
—
060227009
PRIMEWEST
—
05
—
1383
—
ND
01
—
142543900
US DEPT OF LABOR
—
01
—
21388
SANFORD HEALTH PLAN
—
05
—
5508040
—
SD
01
—
57401
TRICARE WEST
—
01
—
6800078
MEDICA
—
01
—
771940
ARAZ
—
01
—
80092
BLUE CROSS
SD
Enumeration date
07/20/2005
Last updated
06/19/2013
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