Monument Health Lead-deadwood Clinic | |
71 Charles St, Deadwood, SD 57732-1303 | |
(605) 717-6431 | |
(605) 719-6163 |
Full Name | Monument Health Lead-deadwood Clinic |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 71 Charles St, Deadwood, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720214737 | NPI | - | NPPES |
1720214737 | Other | SD | NPI NUMBER |
214518 | Other | SD | ADCES CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Monument Health Lead-deadwood Clinic Po Box 860013, Minneapolis, MN 55486-0013 Ph: (605) 717-6431 | Monument Health Lead-deadwood Clinic 71 Charles St, Deadwood, SD 57732-1303 Ph: (605) 717-6431 |
Monument Health Medical Clinic-lead Deadwood Dietitian Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-755-7884 | |
Helen Beth Nichols, MNT Dietitian Medicare: Medicare Enrolled Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-719-6471 |