| Vital Care, Llc | |
|
7600 S Minnesota Ave Sioux Falls SD 57108-2985 | |
| (605) 444-8860 | |
| Not Available |
| Full Name | Vital Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7600 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Richard B Curd (CEO) |
| Authorized Official Contact | 6053346730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Care, Llc 7600 S Minnesota Ave Ste 202 Sioux Falls SD 57108-2988 Ph: (605) 444-8860 | Vital Care, Llc 7600 S Minnesota Ave Sioux Falls SD 57108-2985 Ph: (605) 444-8860 |
| NPI Number | 1306411681 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 2769885920 |
|---|---|
| Medicare Enrollment ID | O20210726001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306411681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Bradley E Hruby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194725960 PECOS PAC ID: 3779570312 Enrollment ID: I20040427000734 |
| Provider Name | Kim E Wieking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063435733 PECOS PAC ID: 2365423670 Enrollment ID: I20040526000784 |
| Provider Name | Syed Asif R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275514218 PECOS PAC ID: 9931192333 Enrollment ID: I20120215000258 |
| Provider Name | Sherry A Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316279532 PECOS PAC ID: 8123155108 Enrollment ID: I20120815000180 |
| Provider Name | Sarah B Fodness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366812976 PECOS PAC ID: 2163731928 Enrollment ID: I20151016001281 |
| Provider Name | Nicole Jo Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447841077 PECOS PAC ID: 9537550595 Enrollment ID: I20211229002095 |
| Provider Name | Jenna Bortnem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669822946 PECOS PAC ID: 5799157442 Enrollment ID: I20230207001664 |
| Provider Name | Mackenzie J Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376229344 PECOS PAC ID: 6709860083 Enrollment ID: I20240117002323 |
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