| Sioux Valley Lung/thoracic Tumor Clinic | |
|
1305 W 18th St Sioux Falls SD 57105-0401 | |
| (605) 328-6035 | |
| (605) 328-6010 |
| Full Name | Sioux Valley Lung/thoracic Tumor Clinic |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 1305 W 18th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Steve W Goetsch (CFO) |
| Authorized Official Contact | 6053286940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sioux Valley Lung/thoracic Tumor Clinic 900 E 54th St N Sioux Falls SD 57104-0681 Ph: (605) 328-4539 | Sioux Valley Lung/thoracic Tumor Clinic 1305 W 18th St Sioux Falls SD 57105-0401 Ph: (605) 328-6035 |
| NPI Number | 1972538239 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972538239 | NPI | - | NPPES |
| 10025056700 | Medicaid | NE | |
| 0537886 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 364S00000X | Clinical Nurse Specialist | (* (Not Available)) | Primary |
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