Midwest Street Medicine

Organization Active NPI Community Health Worker · Sioux Falls, SD

NPI 1841013232 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1841013232
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Worker 172V00000X
Legal business name
MIDWEST STREET MEDICINE
Practice address
701 E 8TH St
Sioux Falls, SD 57103-1632
Phone
(605) 334-6732
NPI assigned
Nov 4, 2024
Organization subpart
No

Authorized official

Name
Shannon Emry, MD
Title
Medical Director
Phone
(605) 370-3054

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Midwest Street Medicine (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker
Group: 193400000X SINGLE SPECIALTY GROUP
172V00000X Yes

Addresses

Primary practice location

701 E 8TH St
Sioux Falls, SD 57103-1632

Mailing address

605 S Nicholas Cir
Brandon, SD 57005-1162

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Community Health Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.