Aurora County Clinic | |
106 S Main St Plankinton SD 57368-0000 | |
(605) 942-7711 | |
(605) 942-7713 |
Full Name | Aurora County Clinic |
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Speciality | Clinic/Center |
Location | 106 S Main St, Plankinton, South Dakota |
Authorized Official Name and Position | John Mengenhausen (CEO) |
Authorized Official Contact | 6057724525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aurora County Clinic Po Box 250 Plankinton SD 57368-0000 Ph: (605) 942-7711 | Aurora County Clinic 106 S Main St Plankinton SD 57368-0000 Ph: (605) 942-7711 |
NPI Number | 1356459382 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 07/14/2008 |
Medicare PECOS PAC ID | 8921997933 |
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Medicare Enrollment ID | O20040315000974 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356459382 | NPI | - | NPPES |
5350112 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Nancy L Webb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972596724 PECOS PAC ID: 4688566110 Enrollment ID: I20040329000440 |
Provider Name | Ruth G Mosqueda Lim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215937297 PECOS PAC ID: 4183601271 Enrollment ID: I20040707000267 |
Provider Name | Lorinda K Holland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972503944 PECOS PAC ID: 8325015746 Enrollment ID: I20040915000350 |
Provider Name | Danny A Wolfgram |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861473753 PECOS PAC ID: 1951334903 Enrollment ID: I20050912000508 |
Provider Name | Thomas M Dean |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952300345 PECOS PAC ID: 2668490004 Enrollment ID: I20051104000098 |
Provider Name | Carla A Schweitzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023083730 PECOS PAC ID: 5193743995 Enrollment ID: I20051110000276 |
Provider Name | Teresa A Marts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780764167 PECOS PAC ID: 9830196930 Enrollment ID: I20061102000558 |
Provider Name | Lance S Lim |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013914209 PECOS PAC ID: 5294625984 Enrollment ID: I20070518000274 |
Provider Name | Anora D Henderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063593762 PECOS PAC ID: 1254429210 Enrollment ID: I20071109000049 |
Provider Name | Shelly J Selland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912193558 PECOS PAC ID: 0446340038 Enrollment ID: I20080121000247 |
Provider Name | Tony L Berg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053492827 PECOS PAC ID: 3173415577 Enrollment ID: I20080225000284 |
Provider Name | Thomas E Jacobsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053405662 PECOS PAC ID: 5092729269 Enrollment ID: I20080930000147 |
Provider Name | Jodi L Jung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609103977 PECOS PAC ID: 3476684671 Enrollment ID: I20100702000407 |
Provider Name | Catherine D Friesen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356338966 PECOS PAC ID: 0941217459 Enrollment ID: I20100830000098 |
Provider Name | Amy J Noonan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336435080 PECOS PAC ID: 6709059470 Enrollment ID: I20111026000203 |
Provider Name | Darcie L Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467729731 PECOS PAC ID: 0042478059 Enrollment ID: I20120222000547 |
Provider Name | Erin Ann Tobin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235430042 PECOS PAC ID: 9931395654 Enrollment ID: I20130510000311 |
Provider Name | Mary Jo Nemec |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316285299 PECOS PAC ID: 0547407199 Enrollment ID: I20130520000149 |
Provider Name | Dannica Callies |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376971770 PECOS PAC ID: 9436387578 Enrollment ID: I20140116001026 |
Provider Name | Megan J Leddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205242658 PECOS PAC ID: 4284851700 Enrollment ID: I20140807000035 |
Provider Name | James L Chiu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124347265 PECOS PAC ID: 1951531771 Enrollment ID: I20140923001047 |
Provider Name | Kristen Morrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245670801 PECOS PAC ID: 9638301583 Enrollment ID: I20141010000044 |
Provider Name | Katie Annette Stearns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467822262 PECOS PAC ID: 4183934284 Enrollment ID: I20151102000998 |
Provider Name | Anna Waldner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518383728 PECOS PAC ID: 6608176540 Enrollment ID: I20151130000422 |
Provider Name | Traci M Holmquist |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588044846 PECOS PAC ID: 3870890171 Enrollment ID: I20160331002378 |
Provider Name | Meghan J Torgerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134584584 PECOS PAC ID: 8628367471 Enrollment ID: I20160517002218 |
Provider Name | Rikki J Ohlrogge |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063828192 PECOS PAC ID: 6800175498 Enrollment ID: I20161123000904 |
Provider Name | Autumn R Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225578198 PECOS PAC ID: 0547538696 Enrollment ID: I20170614002493 |
Provider Name | Melissa Dawn Nehl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184154304 PECOS PAC ID: 8628341062 Enrollment ID: I20170906001399 |
Provider Name | Thyra Crissey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538529904 PECOS PAC ID: 3971879651 Enrollment ID: I20171024003666 |
Provider Name | Barbara De Witt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922540616 PECOS PAC ID: 7012276066 Enrollment ID: I20180119000594 |
Provider Name | Veronica Sherwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194218966 PECOS PAC ID: 5395092472 Enrollment ID: I20180719004077 |
Provider Name | Theresa E. Hammerquist |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982194049 PECOS PAC ID: 7618224551 Enrollment ID: I20180723003296 |
Provider Name | Amanda Marie Thoms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073094611 PECOS PAC ID: 0345584165 Enrollment ID: I20181205003219 |
Provider Name | Meghan C O'connell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073827556 PECOS PAC ID: 5799914842 Enrollment ID: I20181231001238 |
Provider Name | Ryan Rowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285110486 PECOS PAC ID: 3678818275 Enrollment ID: I20190102000606 |
Provider Name | Kristin M Pratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396236337 PECOS PAC ID: 3779820709 Enrollment ID: I20190129000765 |
Provider Name | Katlyn Elizabeth Rostyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457827834 PECOS PAC ID: 2365780988 Enrollment ID: I20190206001974 |
Provider Name | Cassandra Jean Aesoph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225698723 PECOS PAC ID: 0749515880 Enrollment ID: I20190711003571 |
Provider Name | Jacklyn R Genzlinger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548733116 PECOS PAC ID: 0648607978 Enrollment ID: I20200227000507 |
Provider Name | Terry Dean Weaver |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528063997 PECOS PAC ID: 2264428655 Enrollment ID: I20200323002178 |
Provider Name | Kimberli Mae Hastings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942850862 PECOS PAC ID: 0042642027 Enrollment ID: I20200528001930 |
Provider Name | Alyssa Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639771629 PECOS PAC ID: 1153732888 Enrollment ID: I20201201001179 |
Provider Name | Patrick D Flanigan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083245393 PECOS PAC ID: 9133557572 Enrollment ID: I20210112002807 |
Provider Name | Denise M Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760070841 PECOS PAC ID: 2668885492 Enrollment ID: I20210115000293 |
Provider Name | Morgan Marie Lentsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457026759 PECOS PAC ID: 2961807961 Enrollment ID: I20210827002616 |
Provider Name | Rachel Olugbenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457869992 PECOS PAC ID: 1850653544 Enrollment ID: I20210831001796 |
Provider Name | Jessica Ormsmith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124079116 PECOS PAC ID: 3072563824 Enrollment ID: I20211018001708 |
Provider Name | Cynthia Elaine Boltz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083915789 PECOS PAC ID: 5395137376 Enrollment ID: I20220125001690 |
Provider Name | Ken Noguchi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871156737 PECOS PAC ID: 2961884952 Enrollment ID: I20220818002635 |
Provider Name | Christa Hamann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386694297 PECOS PAC ID: 9830092360 Enrollment ID: I20221031002465 |
Provider Name | Alyssa Rochelle Hofer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144940545 PECOS PAC ID: 5092182279 Enrollment ID: I20221031002658 |
Provider Name | Briana Broschat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174243752 PECOS PAC ID: 4880066570 Enrollment ID: I20230206002134 |
Provider Name | Bailey Jo Keckler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235600404 PECOS PAC ID: 8224493978 Enrollment ID: I20230502001222 |
Provider Name | Lisa Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922497866 PECOS PAC ID: 5597120931 Enrollment ID: I20230508001954 |
Provider Name | Melinda C Dalley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285320333 PECOS PAC ID: 5496112633 Enrollment ID: I20230605000413 |
Provider Name | Kristine Ellece Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932706892 PECOS PAC ID: 7214394113 Enrollment ID: I20230608001204 |
Provider Name | Sara Jo Cashman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881371359 PECOS PAC ID: 1052773744 Enrollment ID: I20230811002038 |
Provider Name | Presley Joyce Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073374211 PECOS PAC ID: 8224471677 Enrollment ID: I20240213002106 |