Organization Active NPI

Sacred Heart Rural Health Clinics

  • Foot & Ankle Surgery Podiatrist
  • Yankton, SD
National Provider Identifier
1962584037
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
172 Issued in SD
Legal business name
SACRED HEART RURAL HEALTH CLINICS
Practice address
1000 W 4TH St
Ste 2
Yankton, SD 57078-3700
Phone
(605) 668-8601
Fax
(605) 668-8605
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Pamela Rezac
Title
President & Ceo
Phone
(605) 668-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 172 SD Primary

Addresses

Primary practice location

1000 W 4TH St
Ste 2
Yankton, SD 57078-3700

Mailing address

1000 W 4TH St
Ste 2
Yankton, SD 57078-3700
Phone (605) 668-8601

Other identifiers 1

IdentifierTypeStateIssuer
6800550MedicaidSD

Other names 1

  • Yankton Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962584037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-668-8601",
            "fax_number": "605-668-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-668-8601",
            "fax_number": "605-668-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART RURAL HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "605-668-8322"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800550",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yankton Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.