UNION COUNTY HEALTH FOUNDATION NPI 1326070814

NPI Information

NPI: 1326070814
Provider Name: UNION COUNTY HEALTH FOUNDATION

Doing Business As: COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
204 E MAIN ST
ELK POINT, SD
ZIP 57025
Phone: (605) 356-3317
Get Directions

UNION COUNTY HEALTH FOUNDATION is a federally qualified health center (fqhc) clinic center in Elk Point, SD. UNION COUNTY HEALTH FOUNDATION NPI is 1326070814. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Clinic.

The provider's business location address is:

204 E MAIN ST
ELK POINT, SD
ZIP 57025-334
Phone: (605) 356-3317
Fax: (605) 356-2721

The provider's authorized official is Brad Bertrand .
The authorized official title is Coo and has the following contact phone number (605) 356-3317.

The CLIA number assigned to this NPI record is 43D2212175 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	431805	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
2	5350080	MEDICAID	SOUTH DAKOTA
3	S1002058	MEDICARE PIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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