| Avera Medical Group Webster | |
|
401 E Highway 12 Ste 2 Webster SD 57274-1148 | |
| (605) 345-2222 | |
| (605) 345-2223 |
| Full Name | Avera Medical Group Webster |
|---|---|
| Speciality | Family Medicine |
| Location | 401 E Highway 12 Ste 2, Webster, South Dakota |
| Authorized Official Name and Position | Ron Jacobson (CEO AND PRESIDENT) |
| Authorized Official Contact | 6056225890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Webster Po Box 1460 Aberdeen SD 57402-1460 Ph: (605) 622-2857 | Avera Medical Group Webster 401 E Highway 12 Ste 2 Webster SD 57274-1148 Ph: (605) 345-2222 |
| NPI Number | 1588978423 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588978423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sanford Clinic Webster Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Peabody Dr, Webster, SD 57274 Phone: 605-345-4141 Fax: 605-345-4135 |