Avera Medical Group Colton | |
300 S. Sherman Colton SD 57018 | |
(605) 446-3233 | |
Not Available |
Full Name | Avera Medical Group Colton |
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Speciality | Family Medicine |
Location | 300 S. Sherman, Colton, South Dakota |
Authorized Official Name and Position | Julie N. Norton (SENIOR VICE PRESIDENT FINANCE) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avera Medical Group Colton Po Box 9 300 S. Sherman Colton SD 57018 Ph: (605) 446-3233 | Avera Medical Group Colton 300 S. Sherman Colton SD 57018 Ph: (605) 446-3233 |
NPI Number | 1386793776 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 03/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386793776 | NPI | - | NPPES |
5609026 | Medicaid | SD | |
5611472 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3570 (South Dakota) | Primary |
207Q00000X | Family Medicine | 5214 (South Dakota) | Secondary |