Organization
EASTSIDE NEIGHBORHOOD CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA ATTEBERRY RN, MSN (CEO/EXECUTIVE DIRECTOR)
(605) 224-7226
Entity
Organization
Contact information
Practice address
2400 E CAPITOL AVE, PIERRE, SD 57501-3013
(605) 224-7226
(605) 224-7387
Mailing address
2400 E CAPITOL AVE, PIERRE, SD 57501-3013
(605) 224-7226
(605) 224-7387
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
431828
SD
261QF0400X
Federally Qualified Health Center (FQHC)
431829
SD
261QF0400X
Federally Qualified Health Center (FQHC)
431830
SD
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
431831
SD
261QF0400X
Federally Qualified Health Center (FQHC)
431832
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350270
—
SD
Enumeration date
03/08/2006
Last updated
08/22/2020
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