Organization
CENTER FOR FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE FEDT (BUSINESS OFFICE SUPERVISOR)
(605) 575-1608
Entity
Organization
Contact information
Practice address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157
Mailing address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235898073
—
SD
Enumeration date
12/09/2021
Last updated
07/27/2023
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