Provider Demographics
NPI:1770356560
Name:INDEPENDENT HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:INDEPENDENT HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGDON-REESE
Authorized Official - Suffix:
Authorized Official - Credentials:MBHCA,BSN, RN
Authorized Official - Phone:605-352-4663
Mailing Address - Street 1:1143 LINCOLN AVE SW
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3011
Mailing Address - Country:US
Mailing Address - Phone:605-352-4663
Mailing Address - Fax:605-352-1373
Practice Address - Street 1:1143 LINCOLN AVE SW
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-3011
Practice Address - Country:US
Practice Address - Phone:605-352-4663
Practice Address - Fax:605-352-1373
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDEPENDENT HEALTH SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty