| Careconnectmd South Dakota Pc | |
|
101 S Reid St Sioux Falls SD 57103-7030 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd South Dakota Pc |
|---|---|
| Speciality | General Practice |
| Location | 101 S Reid St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd South Dakota Pc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: () - | Careconnectmd South Dakota Pc 101 S Reid St Sioux Falls SD 57103-7030 Ph: (888) 789-9585 |
| NPI Number | 1306527866 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 7618317132 |
|---|---|
| Medicare Enrollment ID | O20240501002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306527866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Hyong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792677 PECOS PAC ID: 7719998251 Enrollment ID: I20240515000336 |
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