Provider Demographics
NPI:1316946809
Name:SIOUX FALLS SPECIALTY HOSPITAL, LLP
Entity type:Organization
Organization Name:SIOUX FALLS SPECIALTY HOSPITAL, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:CURD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-334-6730
Mailing Address - Street 1:910 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1012
Mailing Address - Country:US
Mailing Address - Phone:605-334-6730
Mailing Address - Fax:605-334-8096
Practice Address - Street 1:910 E 20TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1012
Practice Address - Country:US
Practice Address - Phone:605-334-6730
Practice Address - Fax:605-334-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10583284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0982892Medicaid
1316946809OtherMEDICAL MUTUAL INSURANCE
F26431OtherAMERICA'S PPO ARAZ
SD0108010Medicaid
MN5Z72HSIOtherBLUE CROSS OF MINNESOTA
F228752OtherMIDLANDS CHOICE
030920251OtherPRIMEWEST
142422800OtherUS DEPT OF LABOR
149553CFOtherPREFERRED CARE
57105OtherTRICARE WEST
300845OtherUCARE
01013115OtherPREFERRED ONE
SD80090OtherBLUE CROSS BLUE SHIELD
18599OtherHEALTH PARTNERS
27418OtherSANFORD HEALTH PLAN
5000213OtherMEDICA
SD5508010Medicaid
MN5Z72HSIOtherBLUE CROSS OF MINNESOTA
=========.1OtherDAKOTACARE
SD0108010Medicaid