| Avera Medical Group Ipswich | |
|
501 Bloemendaal Drive Ipswich SD 57451 | |
| (605) 622-2857 | |
| (605) 622-2859 |
| Full Name | Avera Medical Group Ipswich |
|---|---|
| Speciality | Family Medicine |
| Location | 501 Bloemendaal Drive, Ipswich, South Dakota |
| Authorized Official Name and Position | Todd Forkel (PRESIDENT AND CEO) |
| Authorized Official Contact | 6056225125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Ipswich Po Box 1460 Aberdeen SD 57402-1460 Ph: (605) 622-2857 | Avera Medical Group Ipswich 501 Bloemendaal Drive Ipswich SD 57451 Ph: (605) 622-2857 |
| NPI Number | 1558624668 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558624668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sanford Ipswich Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 5th Ave, Ipswich, SD 57451 Phone: 605-426-6040 Fax: 605-426-6043 |