State Of South Dakota

NPI 1124027586 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1124027586
Enumeration Date 07/19/2005
Last Updated 04/24/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID DAVID
Position BUSINESS MANAGER
Phone (605) 668-3148
Fax (605) 668-5407
Practice Location
3515 BROADWAY AVE
YANKTON SD, 57078-7600, US
Phone (605) 668-3148
Fax (605) 668-5407
Business Location
PO BOX 7600
YANKTON SD, 57078-7600, US
Phone (605) 668-3148
Fax (605) 668-5407
Toxanomy
Taxonomy Code 283Q00000X
License State South Dakota
License Number 10577
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According to our database, State Of South Dakota NPI is 1124027586, taxonomy code is 283Q00000X and license number is 10577, license state is located at South Dakota. State Of South Dakota physically located at 3515 Broadway Ave, Yankton SD, 57078-7600. NPI Number 1033115704 has the healthcare provider type.

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1124027586 NPI number is provided on an as is basis without warranty of any kind. 1124027586 is maintained by the National Plan & Provider Enumeration System. The contents of State Of South Dakota are for informational purposes only.