Shadow Anesthesia Services, Llc is a primary clinic (General Acute Care Hospital - Rural) in Mobridge, South Dakota. The current practice location for Shadow Anesthesia Services, Llc is 1401 10th Ave W, Mobridge, South Dakota. For appointments, you can reach them via phone at
(605) 845-8271. The mailing address for Shadow Anesthesia Services, Llc is 403 10th St E, Mobridge, South Dakota and phone number is (402) 802-0246.
Shadow Anesthesia Services, Llc is licensed to practice in South Dakota (license number CR000953) and its
NPI number is 1871807206. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(605) 845-8271.
Primary Care Clinic Profile
| Full Name | Shadow Anesthesia Services, Llc |
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| Speciality | General Acute Care Hospital - Rural |
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| Location | 1401 10th Ave W, Mobridge, South Dakota |
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| Authorized Official Name and Position | Holly Victoria Lashmet (CHIEF) |
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| Authorized Official Contact | 6058453502 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Shadow Anesthesia Services, Llc
403 10th St E
Mobridge
SD 57601-1813
Ph: (402) 802-0246 | Shadow Anesthesia Services, Llc
1401 10th Ave W
Mobridge
SD 57601
Ph: (605) 845-8271 |
NPI Details:
| NPI Number | 1871807206 |
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| Provider Enumeration Date | 07/27/2010 |
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| Last Update Date | 07/16/2018 |
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Medical Identifiers
Medical identifiers for Shadow Anesthesia Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871807206 | NPI | - | NPPES |
| 145111 | Medicaid | SD | |
| 200304330 | Medicaid | KS | |
| 11654543 | Other | KS | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | 100997 (Nebraska) | Secondary |
| 282N00000X | General Acute Care Hospital | 100997 (Nebraska) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 55417 (Kansas) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 100997 (Nebraska) | Secondary |
| 282NR1301X | General Acute Care Hospital - Rural | CR000953 (South Dakota) | Primary |
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