Organization
CJ ELMWOOD PARTNERS L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E JONES M.D. (PARTNER/MEDICAL DIRECTOR)
(712) 239-3937
Entity
Organization
Contact information
Practice address
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105-6565
(800) 338-2015
(605) 334-0737
Mailing address
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105-6565
(800) 338-2015
(605) 334-0737
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11147
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562686
—
IA
05
—
462443200
—
MN
05
—
5490074
—
SD
Enumeration date
12/29/2005
Last updated
08/17/2018
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