Basic Information
| Provider Information | |||||||||
| NPI: | 1760691794 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILL JENSEN | ||||||||
| FirstName: | CRISTINA | ||||||||
| MiddleName: | ALISON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2400 S. MINNESOTA AVE., | ||||||||
| Address2: | STE. 100 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571053762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1417 S CLIFF AVE | ||||||||
| Address2: | STE 300 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053228630 | ||||||||
| FaxNumber: | 6053228631 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 10/10/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 6056 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | 194963100 | 05 | MN | MEDICAID | 4993067 | 01 | SD | BLUE CROSS | OTHER | 46022474338 | 05 | NE | MEDICAID | 6056 | 01 | SD | DAKOTACARE | OTHER | 619D9HI | 01 | MN | BLUE CROSS | OTHER | HP79713 | 01 | SD | HEALTHPARTNERS | OTHER | 1760691794 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 1760691794 | 05 | IA | MEDICAID | 253542 | 01 | SD | MIDLANDS CHOICE | OTHER | 2900736 | 01 | SD | MEDICA | OTHER | 57105B041 | 01 | SD | WPS TRICARE | OTHER | 769171051675 | 01 | SD | PREFERRED ONE | OTHER | 619D9HI | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 92411422906 | 01 | MN | PRIMEWEST | OTHER |