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2519 W 8th St Sioux Falls SD 57104-5606 | |
| (605) 332-3552 | |
| (605) 332-3236 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2519 W 8th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2519 W 8th St Sioux Falls SD 57104-5606 Ph: (605) 332-3552 | 2519 W 8th St Sioux Falls SD 57104-5606 Ph: (605) 332-3552 |
| NPI Number | 1861788143 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 9638555220 |
|---|---|
| Medicare Enrollment ID | O20221005001884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861788143 | NPI | - | NPPES |
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