| Integrated Care And Consultation | |
|
5024 S Bur Oak Pl Ste 208 Sioux Falls SD 57108-2238 | |
| (605) 274-3333 | |
| (605) 274-3111 |
| Full Name | Integrated Care And Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 5024 S Bur Oak Pl Ste 208, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Mathia Rall (OWNER) |
| Authorized Official Contact | 6055013495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care And Consultation 229 W 39th St Ste 100 Sioux Falls SD 57105-5700 Ph: (605) 501-3495 | Integrated Care And Consultation 5024 S Bur Oak Pl Ste 208 Sioux Falls SD 57108-2238 Ph: (605) 274-3333 |
| NPI Number | 1164048070 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 2769802826 |
|---|---|
| Medicare Enrollment ID | O20201012002405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164048070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mathia M Rall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649646340 PECOS PAC ID: 5092089243 Enrollment ID: I20170927000061 |
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