| Organization Name: | SIOUX VALLEY CLINIC |
| NPI Number: | 1215091145 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE W GOETSCH (CFO) |
| Mailing Address: | 308 8th St N Mountain Lake |
| State: | MN US |
| Postal Code: | 561591568 |
| Phone Number: | 5074273332 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |