# PREMISE HEALTH OF SOUTH DAKOTA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Be Well Health Center, Sioux Falls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811381817
- **Authorized official:** JONATHAN LEIZMAN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 2200 E BENSON RD, SIOUX FALLS, SD 57104-7023
- **Practice address phone:** (605) 977-4380
- **Practice address fax:** (605) 977-4311
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
- **Mailing address phone:** (605) 977-4380
- **Mailing address fax:** (605) 977-4311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 10/13/2022