Active NPI
Huron Area Center for Independence
- Developmental Disabilities Clinic/Center
- Aberdeen, SD
National Provider Identifier
1124540133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- HURON AREA CENTER FOR INDEPENDENCE
- Practice address
- 202 S Main St
Aberdeen, SD 57401-4155 - Phone
- (605) 228-2488
- NPI assigned
- Jul 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Meendering
- Title
- C.E.O
- Phone
- (605) 352-5698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
202 S Main St
Aberdeen, SD 57401-4155
Mailing address
258 3Rd St SW
Huron, SD 57350-2403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180080 | Medicaid | SD |
National Provider Directory
National Provider Directory- Tax ID family
- Huron Area Center for Independence
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- Huron, SD
- NPI 1538203211
-
- Case Manager/Care Coordinator
- Huron, SD
- NPI 1699909424
Locations
202 S Main St
Aberdeen, SD 57401
Phone (605) 228-2488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499731200000",
"number": "1124540133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 3RD ST SW",
"city": "HURON",
"state": "SD",
"postal_code": "573502403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S MAIN ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014155",
"telephone_number": "605-228-2488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON AREA CENTER FOR INDEPENDENCE",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-11",
"status": "A",
"authorized_official_last_name": "MEENDERING",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "605-352-5698"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180080",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.