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Organization

UNION COUNTY HEALTH FOUNDATION

Active
Parent organization
UNION COUNTY HEALTH FOUNDATION
Other names
Community Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNION COUNTY HEALTH FOUNDATION
Authorized official
MR. BRAD BERTRAND (COO)
(605) 356-3317
Entity
Organization

Contact information

Practice address
204 E MAIN ST, ELK POINT, SD 57025-2334
(605) 356-3317
(605) 356-2721
Mailing address
204 EAST MAIN STREET, BOX 798, ELK POINT, SD 57025
(605) 356-3317
(605) 356-2721

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5350080
SD
Enumeration date
07/07/2006
Last updated
11/03/2011
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