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NPI Code Detail

MEDICARE: SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH

MEDICARE: SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1952473233
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Provider Business Mailing Address
First Line : 1200 N WEST AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1335
Country : US
Telephone Number : 605-339-0420
Fax Number : 605-339-0038
Provider Business Practice Location Address
First Line : 1200 N WEST AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1335
Country : US
Telephone Number : 605-339-0420
Fax Number : 605-339-0038
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : KARLA KIRKPATRICK
Credential :
Telephone Number : 605-224-8841
Provider Enumeration Date : 11/14/2006
Last Update Date : 04/28/2020

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