Specialty Clinic of Sioux City, LLC
NPI 1023878915ActiveOrganization· General Practice· Dakota Dunes, SD
General Practice in Dakota Dunes, South Dakota, registered in NPPES in March 2024. The authorized official on file is Trae Bergh, PA-C, Manager.
Overview
| NPI | 1023878915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2024 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|