| City Of Sioux Falls | |
|
521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 | |
| (605) 367-8793 | |
| (605) 367-8247 |
| Full Name | City Of Sioux Falls |
|---|---|
| Speciality | Clinic/Center |
| Location | 521 N Main Ave, 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 |
|---|---|
| City Of Sioux Falls 521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 | City Of Sioux Falls 521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 Ph: (605) 367-8793 |
| NPI Number | 1932295888 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 7810943859 |
|---|---|
| Medicare Enrollment ID | O20050323000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932295888 | NPI | - | NPPES |
| 5350010 | Medicaid | SD | |
| 431822 | Other | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Catherine J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588638779 PECOS PAC ID: 9931155975 Enrollment ID: I20050323000677 |
| Provider Name | Charles W Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720052228 PECOS PAC ID: 8224078225 Enrollment ID: I20050510000223 |
| Provider Name | Susan K Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295738789 PECOS PAC ID: 6305856428 Enrollment ID: I20060503000353 |
| Provider Name | Mark K Huntington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326007469 PECOS PAC ID: 4082515069 Enrollment ID: I20061228000420 |
| Provider Name | Cheri L Kovalenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164508537 PECOS PAC ID: 8820098684 Enrollment ID: I20070102000250 |
| Provider Name | Clay J Pavlis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20070806000592 |
| Provider Name | Tara W Geis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689785529 PECOS PAC ID: 1355383571 Enrollment ID: I20080212000432 |
| Provider Name | James R Wilde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467424291 PECOS PAC ID: 6204915788 Enrollment ID: I20080508000655 |
| Provider Name | Fredric Thanel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578537338 PECOS PAC ID: 2769557685 Enrollment ID: I20080812000501 |
| Provider Name | Jean Heisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972686467 PECOS PAC ID: 1355447533 Enrollment ID: I20090127000065 |
| Provider Name | Earl D Kemp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191547 PECOS PAC ID: 2466506902 Enrollment ID: I20090818000246 |
| Provider Name | Mary E Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962474031 PECOS PAC ID: 3678628690 Enrollment ID: I20090827000188 |
| Provider Name | Wesley J Nord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376511014 PECOS PAC ID: 6305991761 Enrollment ID: I20090908000674 |
| Provider Name | Joseph J Seurer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699932020 PECOS PAC ID: 7012186240 Enrollment ID: I20110804000489 |
| Provider Name | Andrea Joy Eben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316242365 PECOS PAC ID: 9133391600 Enrollment ID: I20111005000041 |
| Provider Name | Alisa L Reindl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912149899 PECOS PAC ID: 0143478537 Enrollment ID: I20120910000199 |
| Provider Name | Jay R Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235195041 PECOS PAC ID: 3274519087 Enrollment ID: I20131231000487 |
| Provider Name | Whitney K Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358092 PECOS PAC ID: 1951539006 Enrollment ID: I20140116001485 |
| Provider Name | Amy L Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811915093 PECOS PAC ID: 0840375879 Enrollment ID: I20140120000192 |
| Provider Name | Jennifer J Tinguely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942505102 PECOS PAC ID: 0547499808 Enrollment ID: I20141104000846 |
| Provider Name | Jackie J Bau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971321 PECOS PAC ID: 2264731348 Enrollment ID: I20160422001798 |
| Provider Name | Bradley D Kamstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151287 PECOS PAC ID: 3375612310 Enrollment ID: I20160719001392 |
| Provider Name | Shaina L Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193239 PECOS PAC ID: 9335370303 Enrollment ID: I20171019002053 |
| Provider Name | Tanya Llanque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619364742 PECOS PAC ID: 5092092569 Enrollment ID: I20180309000228 |
| Provider Name | Mary L Borgstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407828569 PECOS PAC ID: 6305885260 Enrollment ID: I20180403002724 |
| Provider Name | William Curtis Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932557154 PECOS PAC ID: 0345534087 Enrollment ID: I20180726003300 |
| Provider Name | Megan E Moeding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330091 PECOS PAC ID: 2769724343 Enrollment ID: I20190822001946 |
| Provider Name | Brittany M Lyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659931822 PECOS PAC ID: 6002146164 Enrollment ID: I20191002003720 |
| Provider Name | Sarah E Fuerstenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508341678 PECOS PAC ID: 5395178768 Enrollment ID: I20191126001629 |
| Provider Name | Samuel M Zollicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437507399 PECOS PAC ID: 3375887649 Enrollment ID: I20191210000672 |
| Provider Name | Colleen C Desmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134763881 PECOS PAC ID: 2769818459 Enrollment ID: I20200128001366 |
| Provider Name | Jill L Pitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659924496 PECOS PAC ID: 1254760663 Enrollment ID: I20200407000871 |
| Provider Name | Heather M Clouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659513596 PECOS PAC ID: 8921439381 Enrollment ID: I20200519001596 |
| Provider Name | Marjorie J Heier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730181280 PECOS PAC ID: 0648288647 Enrollment ID: I20200901001035 |
| Provider Name | Jennifer L Pipitone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518623545 PECOS PAC ID: 9436544715 Enrollment ID: I20220323002435 |
| Provider Name | Stacey L Leber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912468091 PECOS PAC ID: 9032444716 Enrollment ID: I20220805000642 |
| Provider Name | Johnny R Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487825261 PECOS PAC ID: 3274904784 Enrollment ID: I20230120000332 |
| Provider Name | Brittany A Thammavongkeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992406011 PECOS PAC ID: 9638534936 Enrollment ID: I20230419002772 |
| Provider Name | Gabriel Taff Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477780849 PECOS PAC ID: 1850685561 Enrollment ID: I20231006000981 |
| Provider Name | Britney R Ohrlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487436408 PECOS PAC ID: 9032567086 Enrollment ID: I20231130003506 |
| Provider Name | Shjade Carolina Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710696919 PECOS PAC ID: 8921457706 Enrollment ID: I20231206001724 |
| Provider Name | Kyla Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740041318 PECOS PAC ID: 1456790849 Enrollment ID: I20240418000616 |
| Provider Name | Kathleen A Savio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952751539 PECOS PAC ID: 7911290598 Enrollment ID: I20241008004136 |
Mead Family Chiropractic & Acupuncture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 W 57th St Ste 103, Sioux Falls, SD 57108 Phone: 605-274-1900 | |
Quick Health Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108 Phone: 605-271-7821 Fax: 605-271-3717 | |
Sanford Virtual Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 S Ellis Rd, Sioux Falls, SD 57106 Phone: 605-332-2883 | |
Dakota Endocrinology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 W 69th St, Sioux Falls, SD 57108 Phone: 605-977-7000 Fax: 605-977-7001 | |
Avera Mckennan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Dakota Ave., Ste. 117, Sioux Falls, SD 57104 Phone: 605-322-6800 Fax: 605-322-6802 | |
Dwcnp, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5124 S Western Ave, Suite 4, Sioux Falls, SD 57108 Phone: 605-274-3898 Fax: 605-274-3899 | |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 S Kiwanis Ave, Sioux Falls, SD 57105 Phone: 605-328-0020 Fax: 605-328-0021 |