Provider Demographics
NPI:1891043550
Name:SIOUX FALLS SPECIALTY HOSPITAL, LLP
Entity Type:Organization
Organization Name:SIOUX FALLS SPECIALTY HOSPITAL, LLP
Other - Org Name:WORKFORCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:CURD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-334-6730
Mailing Address - Street 1:910 EAST 20TH STREET
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1012
Mailing Address - Country:US
Mailing Address - Phone:605-334-6730
Mailing Address - Fax:605-334-8096
Practice Address - Street 1:4928 N CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-0563
Practice Address - Country:US
Practice Address - Phone:605-444-8820
Practice Address - Fax:605-444-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208100000X
SD10583284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No284300000XHospitalsSpecial HospitalGroup - Single Specialty