JEN MED PROF LLC – NPI #1528020229
Family Medicine

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.

JEN MED PROF LLC is a provider located in STURGIS, SD. NPPES has assigned the NPI number 1528020229 to JEN MED PROF LLC on April 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is STURGIS MEDICAL CENTER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEN MED PROF LLC below.

NPI Profile for
JEN MED PROF LLC

NPI Number
1528020229
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEN MED PROF LLC
Former Legal Business Name: STURGIS MEDICAL CENTER
Primary location
1010 BALLPARK RD
SUITE 2
STURGIS, SD 57785-2364
Phone: (605) 347-3684 Fax: (605) 347-0083
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE JENTER
OWNER/OPERATOR
Phone: (605) 347-3684
Updated
Identifiers

Identifiers for JEN MED PROF LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherCLIA LABSD43D0408177
otherFAA LICENSE NUMBERSD14172-1
otherMEDICARE PTANSDS2312
otherOWCP PROVIDERSD142389900
otherPHYSICIAN'S LICENSESD1034
otherRADIATION MEDICAL LICENSESD42339
otherTITLE 19SD5602360
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
SD 1034

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.