Organization
DEPT OF VETERAN AFFAIRS
Active
Other names
CWT-438 SD
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G WALLACE (SE)
(605) 336-3230
Entity
Organization
Contact information
Practice address
2501 W 22ND ST SF VA MEDICAL CENTER, 116A, SIOUX FALLS, SD 57117
(605) 336-3230
(605) 333-6804
Mailing address
2501 W 22ND ST, 116A, SIOUX FALLS, SD 57105-1305
(605) 336-3632
(605) 333-6804
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283Q00000X
SF VA MEDICAL CENTER
SD
Enumeration date
05/19/2008
Last updated
05/19/2008
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