FOOT AND ANKLE CLINIC, PC; NPI #1659677318

Contact Information

FOOT AND ANKLE CLINIC, PC

3405 6TH ST
BROOKINGS, SD 57006-4417

Phone: 605-693-7246
Fax: 605-693-7247
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FOOT AND ANKLE CLINIC, PC

NPI # 1659677318

LBN Legal business name FOOT AND ANKLE CLINIC, PC

Authorized official KHAM UNG - (PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/28/2011

Last updated 06/14/2016 - About 10 years ago

Identifiers

IA	License #	00505
IA	Medicaid	0476317
SD	Medicaid	6800454
SD	Medicaid	6800690
SD	Medicaid	6800700

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FOOT AND ANKLE CLINIC, PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FOOT AND ANKLE CLINIC, PC

Reviews for FOOT AND ANKLE CLINIC, PC