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SPECIALTY CLINIC OF SIOUX CITY, LLC
NPI 1023878915
General Practice in Dakota Dunes, SD

Active since March 19, 2024
400 BAYHILL CIR, DAKOTA DUNES, SD 57049(605) 553-6458 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Specialty Clinic Of Sioux City, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALTY CLINIC OF SIOUX CITY, LLC (NPI 1023878915) is a healthcare organization registered as a general practice in Dakota Dunes, South Dakota and active in the NPI registry since March 2024. The organization lists Trae Bergh, Manager, as its authorized official.

NPPES Registry Identity

NPI1023878915
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSPECIALTY CLINIC OF SIOUX CITY, LLC
Location Address400 BAYHILL CIRDakota Dunes, SD 57049-5092
Mailing Address166 Saddlebrook CtNorth Sioux City, SD 57049-5443 · (605) 553-6458
Phone(605) 553-6458
Organization SubpartNo
Authorized OfficialTrae BerghManager · (605) 553-6458
Enumeration DateMarch 19, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1023878915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
400 BAYHILL CIR, Dakota Dunes, SD 57049
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty Clinic Of Sioux City, LLC's NPI number?

The NPI number for Specialty Clinic Of Sioux City, LLC is 1023878915. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Specialty Clinic Of Sioux City, LLC located?

Specialty Clinic Of Sioux City, LLC is located at 400 Bayhill Cir, Dakota Dunes, SD 57049. The listed phone number is (605) 553-6458.

What is Specialty Clinic Of Sioux City, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Specialty Clinic Of Sioux City, LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.