| NPI | 1407109705 |
|---|---|
| Doing Business As | NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JON C SODERHOLM President 605-977-7005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 41953) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SD 41953) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 41953) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: SD 41953) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SD 41953) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |