Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 282N00000X | General Acute Care Hospital | | 10565 | SOUTH DAKOTA | No |
| 2 | 282N00000X | General Acute Care Hospital | | 60020 | SOUTH DAKOTA | No |
| 3 | 282NC0060X | General Acute Care Hospital | Critical Access | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5160 | OTHER | NORTH DAKOTA | ND MEDICAID |
| 2 | 80064 | OTHER | SOUTH DAKOTA | BLUE CROSS |
| 3 | 005160 | MEDICAID | NORTH DAKOTA | |
| 4 | 0100640 | MEDICAID | SOUTH DAKOTA | |
| 5 | 80064 | OTHER | NORTH DAKOTA | BLUE CROSS |
| 6 | 9223773 | OTHER | | DAKOTACARE |
| 7 | 03070116100 | OTHER | | PRIME WEST |
| 8 | 0466HCO | OTHER | MINNESOTA | BLUE CROSS |
| 9 | 3135 | OTHER | | SIOUX VALLEY HEALTH PLAN |
| 10 | 617847200 | MEDICAID | MINNESOTA | |
