<Unavail>

LBN: Spearfish Healthcare, Llc
<Unavail> is an health care organization with primary practice located at 1020 North 10Th Street , Spearfish SD 57783-2203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Spearfish Healthcare, Llc can be contacted via phone (605) 642-2716, or through Boerboom, Thomas E. via phone (952) 873-7907.

Contact Information

Primary practice address
1020 North 10Th Street Spearfish SD 57783-2203
Phone: (605) 642-2716
Fax: (605) 722-0757
Website:
Map and Directions
Authorized official contact:
Name: Boerboom, Thomas E.
Phone: (952) 873-7907

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10686 South Dakota

Profile Details

NPI number 1174555858
LBN Legal business name Spearfish Healthcare, Llc
DBA Doing business as <Unavail>
Authorized official Boerboom, Thomas E.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2006
Last updated Apr 14th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174555858 NPPES
South Dakota Other 85043 WELLMARK
South Dakota MEDICAID 0150412 WELLMARK

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