| Avera Medical Group Selby | |
|
4401 Main St Selby SD 57472 | |
| (605) 649-9999 | |
| (605) 946-9987 |
| Full Name | Avera Medical Group Selby |
|---|---|
| Speciality | Family Medicine |
| Location | 4401 Main St, Selby, South Dakota |
| Authorized Official Name and Position | Debbie Streier (VICE PRESIDENT) |
| Authorized Official Contact | 6056222807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Selby Po Box 1460 Aberdeen SD 57402-1460 Ph: (605) 622-2857 | Avera Medical Group Selby 4401 Main St Selby SD 57472 Ph: (605) 649-9999 |
| NPI Number | 1154346625 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154346625 | NPI | - | NPPES |
| 6153 | Other | SD | WELLMARK BC/BS OF SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10525 (South Dakota) | Primary |
Selby Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4401 Main St, Selby, SD 57472 Phone: 605-649-9999 |