NPIMap

Organization Active NPI

Dept of Veteran Affairs

  • Psychiatric Hospital
  • Sioux Falls, SD
National Provider Identifier
1003073917
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
DEPT OF VETERAN AFFAIRS
Practice address
2501 W 22ND St SF VA Medical Center
116A
Sioux Falls, SD 57117
Phone
(605) 336-3230
Fax
(605) 333-6804
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David G Wallace
Title
SE
Phone
(605) 336-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2501 W 22ND St SF VA Medical Center
116A
Sioux Falls, SD 57117

Mailing address

2501 W 22ND St
116A
Sioux Falls, SD 57105-1305
Phone (605) 336-3632

Other identifiers 1

IdentifierTypeStateIssuer
283Q00000XOtherSDSF VA MEDICAL CENTER

Other names 1

  • CWT-438 SD Other name

National Provider Directory

National Provider Directory
Tax ID family
Sioux Falls Vamc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 W 22nd St
#116A
Sioux Falls, SD 57105
Phone (605) 333-6890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1003073917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST",
            "address_2": "116A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051305",
            "telephone_number": "605-336-3632",
            "fax_number": "605-333-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST SF VA MEDICAL CENTER",
            "address_2": "116A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57117",
            "telephone_number": "605-336-3230",
            "fax_number": "605-333-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SE",
        "authorized_official_telephone_number": "605-336-3230"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SF VA MEDICAL CENTER",
            "identifier": "283Q00000X",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CWT-438 SD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.