Active NPI
Lewis & Clark Specialty Hospital LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Yankton, SD
National Provider Identifier
1346539475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- LEWIS & CLARK SPECIALTY HOSPITAL LLC
- Practice address
- 2601 Fox Run Pkwy
Yankton, SD 57078-5341 - Phone
- (605) 664-5300
- Fax
- (605) 664-5301
- NPI assigned
- Mar 29, 2011
- Organization subpart
- Yes
- Parent organization
- LEWIS & CLARK SPECIALTY HOSPITAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Doug Doorn
- Title
- Ceo
- Phone
- (605) 665-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
2601 Fox Run Pkwy
Yankton, SD 57078-5341
Mailing address
2601 Fox Run Pkwy
Yankton, SD 57078-5341
Phone (605) 664-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108070 | Medicaid | SD | |
| 5508070 | Medicaid | SD |
National Provider Directory
National Provider Directory- Part of
- Lewis Clark Hospital
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Special Hospital
- Yankton, SD
- NPI 1487644035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1346539475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 FOX RUN PKWY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785341",
"telephone_number": "605-664-5300",
"fax_number": "605-664-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 FOX RUN PKWY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785341",
"telephone_number": "605-664-5300",
"fax_number": "605-664-5301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS & CLARK SPECIALTY HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEWIS & CLARK SPECIALTY HOSPITAL LLC",
"enumeration_date": "2011-03-29",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "DOORN",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-665-5100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108070",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5508070",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
- Julie Kay Lentz, RPH
- Lawrence M Leon, M.D.
- Lewis & Clark Behavioral Health Services, Inc.
- Lewis & Clark Mental Health Center
- Lewis & Clark Specialty Hospital LLC
- Lewis & Clark Specialty Hospital LLC
- Lewis & Clark Urology, LTD.
- Lewis and Clark Anesthesia, Prof. LLC
- Lifespring Therapy LLC
- Josette S. Lindahl, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.