NPI | 1043251754 |
---|---|
Doing Business As | MERCYONE SOUTH SIOUX FAMILY MEDICINE |
Doing Business As | SOUTH SIOUX MERCY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JESICA HANSON VP Finance 712-279-5850 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-10-18 |