Healthcare Provider Details

I. General information

NPI: 1972538239
Provider Name (Legal Business Name): SIOUX VALLEY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

900 E 54TH ST N
SIOUX FALLS SD
57104-0681
US

V. Phone/Fax

Practice location:
  • Phone: 605-328-6035
  • Fax: 605-328-6010
Mailing address:
  • Phone: 605-328-4539
  • Fax: 605-328-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: STEVE W GOETSCH
Title or Position: CFO
Credential:
Phone: 605-328-6940