| NPI | 1093090342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 282N00000X General Acute Care Hospital (Licence: SD 10564) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2025-07-23 |