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410 N Valley View Rd Sioux Falls SD 57107-1022 | |
(605) 367-8793 | |
(605) 367-8247 |
Full Name | |
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Speciality | Clinic/Center |
Location | 410 N Valley View Rd, Sioux Falls, South Dakota |
Authorized Official Name and Position | Jill Franken (PUBLIC HEALTH 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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521 N Main Ave Ste 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 | 410 N Valley View Rd Sioux Falls SD 57107-1022 Ph: (605) 367-8793 |
NPI Number | 1508103243 |
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Provider Enumeration Date | 01/15/2013 |
Last Update Date | 01/15/2013 |
Medicare PECOS PAC ID | 7810943859 |
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Medicare Enrollment ID | O20130828000676 |
Identifier | Type | State | Issuer |
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1508103243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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