Spearfish Healthcare, LLC

NPI #1174555858 in Spearfish, South Dakota

Provider Information

NPI Number
1174555858
Entity Type
Organization
Organization Name
Spearfish Healthcare, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MISSION HEALTHCARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 6, 2006
Last Updated
Apr 14, 2011

Practice Location

Address
1020 NORTH 10TH STREET
ZIP Code
57783-2203
Phone
(605) 642-2716

Authorized Official

Name
MR. THOMAS E. BOERBOOM
Title
CHIEF OPERATING OFFICER
Phone
(952) 873-7907

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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