| Jerauld County Dental Clinic | |
|
602 1st St Ne Ste 2 Wessington Springs SD 57382-2163 | |
| (605) 539-1381 | |
| (605) 539-1190 |
| Full Name | Jerauld County Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 602 1st St Ne Ste 2, Wessington Springs, South Dakota |
| Authorized Official Name and Position | John Mengenhausen (CEO) |
| Authorized Official Contact | 6057724525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerauld County Dental Clinic 602 1st St Ne Ste 2 Wessington Springs SD 57382-2163 Ph: (605) 539-1381 | Jerauld County Dental Clinic 602 1st St Ne Ste 2 Wessington Springs SD 57382-2163 Ph: (605) 539-1381 |
| NPI Number | 1275858979 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275858979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |