| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 W 2nd St, Winner, South Dakota |
| Authorized Official Name and Position | Julie Norton (CONTROLLER) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
660 W 2nd St Po Box 705 Winner SD 57580-1218 Ph: (605) 842-2443 | 660 W 2nd St Winner SD 57580-1218 Ph: (605) 842-2443 |
| NPI Number | 1912959495 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 0345157103 |
|---|---|
| Medicare Enrollment ID | O20161104000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912959495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Winner Regional Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 825 E 8th St, Winner, SD 57580 Phone: 605-842-2626 Fax: 605-842-3557 | |
Winner Regional Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 East 8th Street, Winner, SD 57580 Phone: 605-842-2626 Fax: 605-842-7310 | |