LEWIS & CLARK SPECIALTY HOSPITAL LLC (NPI# 1134471527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134471527 |
| Entity Type | Organization |
| Organization Name | LEWIS & CLARK SPECIALTY HOSPITAL LLC |
| Other Organization Name | LEWIS & CLARK FAMILY MEDICINE |
| Practice Address |
2525 Fox Run Parkway Ste 200 Yankton SD 57078-5371 |
| Practice Telephone | 6052602100 |
| Practice Fax Number | 6056655200 |
| Mailing Telephone | 6052602100 |
| Mailing Fax Number | 6056655200 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | MR. DOUG DOORN (CEO) |
| Authorized Official Telephone | 6056655100 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEWIS & CLARK SPECIALTY HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0108070 | 05 | |
| SD | 5508070 | 05 | |
| SD | MEDICARE | 430096 | 01 |
| SD | DEPARTMENT OF HEALTH | 47834 | 01 |
| Other Name | Type Code |
|---|---|
| Lewis & Clark Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644035 | Lewis & Clark Specialty Hospital LLC | Special Hospital | 2601 Fox Run Pkwy, Yankton, SD 57078-5341 | 2005-10-25 |
| 1346539475 | Lewis & Clark Specialty Hospital LLC | Clinic/Center | 2601 Fox Run Pkwy, Yankton, SD 57078-5341 | 2011-03-29 |
| Street Address |
2525 FOX RUN PARKWAY STE 200 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251350 | Yankton Medical Clinic PC | Clinic/Center | 1104 W 8th St, Yankton, SD 57078-3306 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
| 1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
| 1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
| 1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LEWIS & CLARK SPECIALTY HOSPITAL 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.