SIOUX VALLEY CLINIC (NPI# 1114081197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114081197 |
Entity Type | Organization |
Organization Name | SIOUX VALLEY CLINIC |
Other Organization Name | SIOUX VALLEY CLINIC GLICK MEDICAL CLINIC |
Practice Address |
308 10th St Windom MN 56101-1451 |
Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
Practice Telephone | 5078312223 |
Mailing Telephone | 6053284540 |
Mailing Fax Number | 6053284531 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | STEVE W GOETSCH (CFO) |
Authorized Official Telephone | 6053286940 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sioux Valley Clinic Glick Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609931518 | Sioux Valley Clinic | Clinic/Center | 600 W Cedar Street (highway 46), Beresford, SD 57004 | 2006-12-22 |
1215091145 | Sioux Valley Clinic | Clinic/Center | 308 8th St N, Mountain Lake, MN 56159-1568 | 2006-12-22 |
1972538239 | Sioux Valley Clinic | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-12 |
Street Address |
308 10TH ST |
City | WINDOM |
State | MN |
Zip Code | 56101-1451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801893227 | Bertha M Klassen | Nurse Practitioner | 308 10th St, Windom, MN 56101-1451 | 2005-06-30 |
1174707848 | Kathleen Joan Harder | Nurse Practitioner | 308 10th St, Windom, MN 56101-1451 | 2007-12-18 |
1306927538 | Karen Lee Brinkman | Counselor | 308 10th St, Suite A, Windom, MN 56101-0443 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669868246 | Samantha Noel Hager | Counselor | 305 9th Street, Windom, MN 56101 | 2015-04-10 |
1689093783 | Micara Louise Kolander | Nurse Anesthetist, Certified Registered | Windom Area Hospital, 2150 Hospital Dr, Windom, MN 56101 | 2014-04-16 |
1952611618 | Michelle Seberson | Occupational Therapy Assistant | 540 16th Street, Windom, MN 56101 | 2010-10-15 |
1518290634 | Yvonne M. Callaghan | Marriage & Family Therapist | 41385 Us Hwy 71 N., Windom, MN 56101 | 2009-09-08 |
1043452774 | Iowa Lakes Orthopaedics, PC | Orthopaedic Surgery | Hwy. 71 N, Windom, MN 56101 | 2009-03-26 |
1891946539 | Alissa Grunewald | Pharmacist | 599 2nd Avenue North, Windom, MN 56101 | 2008-09-30 |
1538269741 | Sanford Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 585 2nd Ave N, Windom, MN 56101 | 2006-09-25 |
1811099138 | Gloria Andreasen | Social Worker | 9 4th Street, Windom, MN 56101 | 2006-09-05 |
1598738387 | Mary L Olson | Family Medicine | 820 2nd Avenue North, Windom, MN 56101 | 2006-02-10 |
1497996052 | Jolene Peggy Wirkus | Psychologist | 9 4th Street, Windom, MN 56101 | 2009-03-11 |
Find all providers in zip 56101 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699772178 | Sanford Clinic | Clinic/Center | 591 2nd Ave N, Windom, MN 56101-1927 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.