Avera Colman Medical Clinic | |
109 N. Main Colman SD 57017 | |
(0) - | |
Not Available |
Full Name | Avera Colman Medical Clinic |
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Speciality | Family Medicine |
Location | 109 N. Main, Colman, South Dakota |
Authorized Official Name and Position | Marilyn Hogan (RN CLINIC MANAGER) |
Authorized Official Contact | 6054285446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avera Colman Medical Clinic 109 N. Main Colman SD 57017 Ph: () - | Avera Colman Medical Clinic 109 N. Main Colman SD 57017 Ph: (0) - |
NPI Number | 1194873851 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1194873851 | NPI | - | NPPES |
5610960 | Medicaid | SD | |
5611290 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4884 (South Dakota) | Primary |
207Q00000X | Family Medicine | 5054 (South Dakota) | Secondary |