Provider Demographics
NPI:1699909424
Name:HURON AREA CENTER FOR INDEPENDENCE
Entity type:Organization
Organization Name:HURON AREA CENTER FOR INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEENDERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-352-5698
Mailing Address - Street 1:258 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-2403
Mailing Address - Country:US
Mailing Address - Phone:605-352-5698
Mailing Address - Fax:605-352-1039
Practice Address - Street 1:258 3RD ST SW
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2403
Practice Address - Country:US
Practice Address - Phone:605-352-5698
Practice Address - Fax:605-352-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty