Falls Community Health | |
521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 | |
(605) 367-8793 | |
(605) 367-8247 |
Full Name | Falls Community Health |
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Speciality | Clinic/Center |
Location | 521 N Main Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Jill Franken (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6053678761 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Falls Community Health 521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 | Falls Community Health 521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 |
NPI Number | 1932295888 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 01/11/2013 |
Medicare PECOS PAC ID | 7810943859 |
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Medicare Enrollment ID | O20050323000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932295888 | NPI | - | NPPES |
5350010 | Medicaid | SD | |
431822 | Other | MEDICARE FQHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Catherine J Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588638779 PECOS PAC ID: 9931155975 Enrollment ID: I20050323000677 |
Provider Name | Charles W Shafer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720052228 PECOS PAC ID: 8224078225 Enrollment ID: I20050510000223 |
Provider Name | Susan K Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295738789 PECOS PAC ID: 6305856428 Enrollment ID: I20060503000353 |
Provider Name | Mark K Huntington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326007469 PECOS PAC ID: 4082515069 Enrollment ID: I20061228000420 |
Provider Name | Cheri L Kovalenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164508537 PECOS PAC ID: 8820098684 Enrollment ID: I20070102000250 |
Provider Name | Clay J Pavlis |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20070806000592 |
Provider Name | Tara W Geis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689785529 PECOS PAC ID: 1355383571 Enrollment ID: I20080212000432 |
Provider Name | James R Wilde |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467424291 PECOS PAC ID: 6204915788 Enrollment ID: I20080508000655 |
Provider Name | Judy Jacobsen |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1437256310 PECOS PAC ID: 4587736293 Enrollment ID: I20080711000253 |
Provider Name | Fredric Thanel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578537338 PECOS PAC ID: 2769557685 Enrollment ID: I20080812000501 |
Provider Name | Jean Heisler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972686467 PECOS PAC ID: 1355447533 Enrollment ID: I20090127000065 |
Provider Name | Earl D Kemp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134191547 PECOS PAC ID: 2466506902 Enrollment ID: I20090818000246 |
Provider Name | Mary E Watson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962474031 PECOS PAC ID: 3678628690 Enrollment ID: I20090827000188 |
Provider Name | Wesley J Nord |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376511014 PECOS PAC ID: 6305991761 Enrollment ID: I20090908000674 |
Provider Name | Joseph J Seurer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699932020 PECOS PAC ID: 7012186240 Enrollment ID: I20110804000489 |
Provider Name | Andrea Joy Eben |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316242365 PECOS PAC ID: 9133391600 Enrollment ID: I20111005000041 |
Provider Name | Alisa L Reindl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912149899 PECOS PAC ID: 0143478537 Enrollment ID: I20120910000199 |
Provider Name | Jay R Allison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235195041 PECOS PAC ID: 3274519087 Enrollment ID: I20131231000487 |
Provider Name | Whitney K Larsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013358092 PECOS PAC ID: 1951539006 Enrollment ID: I20140116001485 |
Provider Name | Amy L Hogue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811915093 PECOS PAC ID: 0840375879 Enrollment ID: I20140120000192 |
Provider Name | Jennifer J Tinguely |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942505102 PECOS PAC ID: 0547499808 Enrollment ID: I20141104000846 |
Provider Name | Jackie J Bau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073971321 PECOS PAC ID: 2264731348 Enrollment ID: I20160422001798 |
Provider Name | Bradley D Kamstra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20160719001392 |
Provider Name | Shaina L Riggs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497193239 PECOS PAC ID: 9335370303 Enrollment ID: I20171019002053 |
Provider Name | Tanya Llanque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619364742 PECOS PAC ID: 5092092569 Enrollment ID: I20180309000228 |
Provider Name | Mary L Borgstadt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407828569 PECOS PAC ID: 6305885260 Enrollment ID: I20180403002724 |
Provider Name | William Curtis Young |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932557154 PECOS PAC ID: 0345534087 Enrollment ID: I20180726003300 |
Provider Name | Megan E Moeding |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609330091 PECOS PAC ID: 2769724343 Enrollment ID: I20190822001946 |
Provider Name | Brittany M Lyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659931822 PECOS PAC ID: 6002146164 Enrollment ID: I20191002003720 |
Provider Name | Sarah E Fuerstenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508341678 PECOS PAC ID: 5395178768 Enrollment ID: I20191126001629 |
Provider Name | Samuel M Zollicker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437507399 PECOS PAC ID: 3375887649 Enrollment ID: I20191210000672 |
Provider Name | Colleen C Desmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134763881 PECOS PAC ID: 2769818459 Enrollment ID: I20200128001366 |
Provider Name | Jill L Pitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659924496 PECOS PAC ID: 1254760663 Enrollment ID: I20200407000871 |
Provider Name | Heather M Clouse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659513596 PECOS PAC ID: 8921439381 Enrollment ID: I20200519001596 |
Provider Name | Marjorie J Heier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730181280 PECOS PAC ID: 0648288647 Enrollment ID: I20200901001035 |
Provider Name | Jennifer L Pipitone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518623545 PECOS PAC ID: 9436544715 Enrollment ID: I20220323002435 |
Provider Name | Stacey L Leber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912468091 PECOS PAC ID: 9032444716 Enrollment ID: I20220805000642 |
Provider Name | Johnny R Ray |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487825261 PECOS PAC ID: 3274904784 Enrollment ID: I20230120000332 |
Provider Name | Brittany A Thammavongkeo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992406011 PECOS PAC ID: 9638534936 Enrollment ID: I20230419002772 |
Provider Name | Gabriel Taff Harris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477780849 PECOS PAC ID: 1850685561 Enrollment ID: I20231006000981 |
Provider Name | Shjade Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710696919 PECOS PAC ID: 8921457706 Enrollment ID: I20231206001724 |
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