MIDWEST STREET MEDICINE NPI 1154159747

NPI Information

  • NPI: 1154159747
  • Provider Name: MIDWEST STREET MEDICINE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 43D2306126
  • Address: 701 E 8TH ST
    SIOUX FALLS, SD
    ZIP 57103
  • Phone: (605) 334-6732

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NPI Details

MIDWEST STREET MEDICINE is a primary care clinic center in Sioux Falls, SD. MIDWEST STREET MEDICINE NPI is 1154159747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 E 8TH ST
SIOUX FALLS, SD
ZIP 57103-632
Phone: (605) 334-6732

The provider's authorized official is Shannon Emry .
The authorized official title is Medical Director and has the following contact phone number (605) 370-3054.

The CLIA number assigned to this NPI record is 43D2306126 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2024 and was last updated on 8/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerNo
2207RN0300XInternal MedicineNephrologyNo
3208000000XPediatricsNo
4208D00000XGeneral PracticeNo
5261QP2300XClinic/CenterPrimary CareYes
6363A00000XPhysician AssistantNo
7363LF0000XNurse PractitionerFamilyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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