HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI# 1023003969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023003969 |
| Entity Type | Organization |
| Organization Name | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| Other Organization Name | AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC |
| Practice Address |
4500 W 69th St Sioux Falls SD 57108-8148 |
| Practice Telephone | 6059777000 |
| Practice Fax Number | 6059777001 |
| Mailing Telephone | 6059777000 |
| Mailing Fax Number | 6059777001 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | JEAN C WHITE (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6059777009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 41953 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0542191 | 05 | |
| MN | 320460000 | 05 | |
| SD | WELLMARK | 80095 | 01 |
| SD | 5500250 | 05 | |
| SD | 0100250 | 05 |
| Other Name | Type Code |
|---|---|
| Avera Heart Hospital of South Dakota LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407109705 | Heart Hospital of South Dakota LLC | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-24 |
| Street Address |
4500 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392175 | Ashley Marie Stelzer | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2020-06-30 |
| 1295397784 | Stacy Auch-white | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2019-07-03 |
| 1801372479 | Lonny Dean Heinemann | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2018-07-17 |
| 1134615255 | Holli Marie Baan Hofman | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2018-07-02 |
| 1992210355 | Peggy J Jansen | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2017-12-07 |
| 1619488640 | Andrew Arnold Davies | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2017-10-17 |
| 1629451307 | Lauren Cornay | Dietitian, Registered | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2015-06-30 |
| 1487917977 | Sara M Koole | Nurse Practitioner | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2012-06-19 |
| 1043598337 | Dakota Endocrinology LLC | Internal Medicine | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2011-08-03 |
| 1942531371 | Jenette Anderson Merrill | Dietitian, Registered | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407108053 | Sanford Health | General Acute Care Hospital | 3401 W 49th St Ste 2, Sioux Falls, SD 57106-2369 | 2012-10-05 |
| 1558594192 | Maria Klamm | General Acute Care Hospital | 1210 W 18th St Ste Ll01, Sioux Falls, SD 57104-4655 | 2009-08-31 |
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1063804318 | Va Medical Center | General Acute Care Hospital | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2015-02-24 |
| 1437579919 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2014-04-23 |
| 1144571365 | Sanford Health | General Acute Care Hospital | 3401 W 49th St, Suite 2, Sioux Falls, SD 57106-2322 | 2012-09-27 |
| 1407107808 | Sanford Medical Center | General Acute Care Hospital | 1210 W 18th St, Suite Llo1, Sioux Falls, SD 57104-4647 | 2012-09-25 |
| 1730390428 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Neonatal Intensive Care Unit, Sioux Falls, SD 57105-1007 | 2007-05-24 |
| 1881804458 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2007-05-23 |
| 1184834764 | Avera Mckennan | General Acute Care Hospital | 800 E 21st St, Sioux Falls, SD 57105-1016 | 2007-05-23 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
Please comment or provide details below to improve the information on HEART HOSPITAL OF SOUTH DAKOTA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.