| Fch School Based Health Services/terry Redlin | |
|
1721 E Austin St Sioux Falls SD 57103-1500 | |
| (605) 367-8793 | |
| Not Available |
| Full Name | Fch School Based Health Services/terry Redlin |
|---|---|
| Speciality | Clinic/Center |
| Location | 1721 E Austin St, 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 |
|---|---|
| Fch School Based Health Services/terry Redlin 521 N Main Ave Ste 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 | Fch School Based Health Services/terry Redlin 1721 E Austin St Sioux Falls SD 57103-1500 Ph: (605) 367-8793 |
| NPI Number | 1902130818 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 7810943859 |
|---|---|
| Medicare Enrollment ID | O20091214000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902130818 | NPI | - | NPPES |
| 5350330 | Medicaid | SD | |
| 431845 | Other | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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