SOUTHERN HILLS FAMILY MEDICINE, PROF LLC - NPI 1457013963

Q: What is Southern Hills Family Medicine, Prof LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Southern Hills Family Medicine, Prof Llc NPPES

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

SOUTHERN HILLS FAMILY MEDICINE, PROF LLC (NPI 1457013963) is a healthcare organization registered as a family medicine in Custer, South Dakota and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 30, 2027, maintains a secondary practice location in Hot Springs, and lists Brandyn A Tarap, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457013963

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHERN HILLS FAMILY MEDICINE, PROF LLC

Location Address1369 MONTGOMERY STCuster, SD 57730-8246

Mailing Address1369 Montgomery StCuster, SD 57730-8246 · (605) 673-3900

Phone(605) 673-3900

Organization SubpartNo

Authorized OfficialBrandyn A TarapSole Member · (605) 673-3900

Enumeration DateOctober 12, 2021

Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1457013963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1369 MONTGOMERY ST, Custer, SD 57730

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Secondary Practice Location 1

Location 12711 Highway 18 WHot Springs, SD 57747-6602 · Phone (605) 673-3900

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2244447

Southern Hills Family Medicine · Custer, SD

Active · expires Nov 30, 2027

CLIA Number43D2244447

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorBrandy Tarap

Laboratory Phone(605) 673-3900

Laboratory LocationSouthern Hills Family Medicine1369 Montgomery St, Custer, SD 57730

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDYN ASHLEY TARAP MD

Family Medicine