Provider Demographics
NPI:1023342953
Name:THE SLEEP HEALTH CENTER
Entity type:Organization
Organization Name:THE SLEEP HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-341-3770
Mailing Address - Street 1:2929 5TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-7338
Mailing Address - Country:US
Mailing Address - Phone:605-342-5514
Mailing Address - Fax:
Practice Address - Street 1:2929 5TH ST STE 240
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-7338
Practice Address - Country:US
Practice Address - Phone:605-342-5514
Practice Address - Fax:605-721-6478
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K ALAN KELTS MD STEVEN K HATA MD ROBERT C FINLEYMD ETAL PTRS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY102533300Medicaid
SD0000058OtherBC/BS
SD0000058OtherBC/BS
WY102533300Medicaid
WYW20582Medicare PIN
SD58Medicare PIN