Provider Demographics
NPI:1760691794
Name:HILL JENSEN, CRISTINA ALISON (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ALISON
Last Name:HILL JENSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2400 S. MINNESOTA AVE.,
Mailing Address - Street 2:STE. 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1417 S CLIFF AVE
Practice Address - Street 2:STE 300
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1062
Practice Address - Country:US
Practice Address - Phone:605-322-8630
Practice Address - Fax:605-322-8631
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD6056207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD370624200OtherDEPT OF LABOR
MN194963100Medicaid
SD4993067OtherBLUE CROSS
NE46022474338Medicaid
SD6056OtherDAKOTACARE
MN619D9HIOtherBLUE CROSS
SDHP79713OtherHEALTHPARTNERS
SD1760691794OtherARAZ/ AMERICA'S PPO
IA1760691794Medicaid
SD253542OtherMIDLANDS CHOICE
SD2900736OtherMEDICA
SD57105B041OtherWPS TRICARE
SD769171051675OtherPREFERRED ONE
MN619D9HIOtherCC SYSTEMS/ BLUE PLUS
MN92411422906OtherPRIMEWEST
SD6056OtherDAKOTACARE