EASTSIDE NEIGHBORHOOD CENTER, INC. (NPI# 1124096029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096029 |
| Entity Type | Organization |
| Organization Name | EASTSIDE NEIGHBORHOOD CENTER, INC. |
| Practice Address |
2400 E Capitol Ave Pierre SD 57501-3013 |
| Practice Telephone | 6052247226 |
| Practice Fax Number | 6052247387 |
| Mailing Telephone | 6052247226 |
| Mailing Fax Number | 6052247387 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANNA ATTEBERRY (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6052247226 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
431828 | SD | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
431829 | SD | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
431830 | SD | Ambulatory Health Care Facilities |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
431832 | SD | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
431831 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5350270 | 05 |
| Street Address |
2400 E CAPITOL AVE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972580 | South Dakota Urban Indian Health, Inc. Sduih | Clinic/Center | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2020-04-29 |
| 1295807568 | South Dakota Urban Indian Health Inc Sduih | Clinic/Center | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254191 | Rural Health Care, Inc | Clinic/Center | 400 22nd Ave Ste 1, Brookings, SD 57006-2450 | 2020-08-06 |
| 1013445907 | Horizon Health Care Inc | Clinic/Center | 920 Broadway Ave Ste 2, Yankton, SD 57078-3536 | 2017-05-23 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1104248475 | Horizon Health Care Inc | Clinic/Center | 506 S Wilson St, Aberdeen, SD 57401-5082 | 2014-01-06 |
| 1508103243 | City of Sioux Falls | Clinic/Center | 410 N Valley View Rd, Sioux Falls, SD 57107-1022 | 2013-01-15 |
| 1245513811 | Horizon Health Care Inc | Clinic/Center | 1000 18th St Sw Ste 27, Huron, SD 57350-3488 | 2011-09-21 |
| 1902130818 | City of Sioux Falls | Clinic/Center | 1721 E Austin St, Sioux Falls, SD 57103-1500 | 2009-09-24 |
| 1609025907 | City of Sioux Falls | Clinic/Center | 601 N Spring Ave, Sioux Falls, SD 57104-2721 | 2008-09-11 |
| 1932295888 | City of Sioux Falls | Clinic/Center | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EASTSIDE NEIGHBORHOOD CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.