Organization · Type 2 NPI
Eastside Neighborhood Center, Inc.
Federally Qualified Health Center (FQHC) · Pierre, SD
NPI number
1124096029
Active
Practice location
2400 E Capitol Ave
Pierre, SD 57501-3013
Fax (605) 224-7387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 431828 (SD) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 431829 (SD) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 431830 (SD) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 431831 (SD) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 431832 (SD) |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Pierre
About NPI 1124096029
Eastside Neighborhood Center, Inc.'s National Provider Identifier is 1124096029, issued on Mar 8, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Pierre, SD. The record was last updated on Aug 22, 2020.