Provider Demographics
NPI:1831846419
Name:SMSS PLLC
Entity type:Organization
Organization Name:SMSS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MCKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERFEHR
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:507-399-2099
Mailing Address - Street 1:1235 HIGHWAY 15 S
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-4461
Mailing Address - Country:US
Mailing Address - Phone:507-399-2099
Mailing Address - Fax:507-235-2930
Practice Address - Street 1:757 S STATE ST STE 1
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-4438
Practice Address - Country:US
Practice Address - Phone:507-399-2099
Practice Address - Fax:507-235-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty