Union County Health Foundation

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

UNION COUNTY HEALTH FOUNDATION

Practice address

409 Summit St
Suite 3400
Yankton, SD 57078-3735

Phone

(605) 260-0310

NPI assigned

Nov 7, 2013

Organization subpart

Yes

Parent organization

UNION COUNTY HEALTH FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brad R Bertrand

Title

Ceo

Phone

(605) 356-3317

Specialties & licenses 1

Addresses

Other names 1

• allPOINTS Yankton Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

G D Rath MD

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Yankton, SD
  • NPI 1013445907

  Sold to, 2017-06-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1104255389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SUMMIT ST",
            "address_2": "SUITE 3400",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783735",
            "telephone_number": "605-260-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SUMMIT ST",
            "address_2": "SUITE 3400",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783735",
            "telephone_number": "605-260-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY HEALTH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION COUNTY HEALTH FOUNDATION",
        "enumeration_date": "2013-11-07",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-356-3317"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "allPOINTS Yankton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Tucker, CSW-PIP
• Jacob Patrick Tuholsky, DPT
• Marissa Tuttle
• Two Fishes Inc
• Rayvin Navannah Uehling
• Michelle Dawn Valencsin, PT
• Ryan Van Fossen
• Sandra Lee Van Gerpen, MD
• Taryn Sue Van Gilder-Pierce, PHD
• Vivian Annett Vanessen, LPC

• All providers in Yankton, SD
• Federally Qualified Health Center (FQHC) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.