Eastside Neighborhood Center, Inc.

LBN: Eastside Neighborhood Center, Inc.
Eastside Neighborhood Center, Inc. is an health care organization with primary practice located at 2400 E Capitol Ave , Pierre SD 57501-3013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Eastside Neighborhood Center, Inc. can be contacted via phone (605) 224-7226, or through Atteberry, Anna via phone (605) 224-7226.

Contact Information

Primary practice address
2400 E Capitol Ave Pierre SD 57501-3013
Phone: (605) 224-7226
Fax: (605) 224-7387
Website:
Map and Directions
Authorized official contact:
Name: Atteberry, Anna RN, MSN
Phone: (605) 224-7226

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 431828 South Dakota
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 431829 South Dakota
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 431830 South Dakota
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 431831 South Dakota
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 431832 South Dakota

Profile Details

NPI number 1124096029
LBN Legal business name Eastside Neighborhood Center, Inc.
DBA Doing business as
Authorized official Atteberry, Anna RN, MSN
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124096029 NPPES
South Dakota MEDICAID 5350270

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