Black Hills Family Practice And Wellness Llc | |
1010 Ballpark Rd Ste 3 Sturgis SD 57785-2208 | |
(605) 720-4520 | |
Not Available |
Full Name | Black Hills Family Practice And Wellness Llc |
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Speciality | Family Medicine |
Location | 1010 Ballpark Rd Ste 3, Sturgis, South Dakota |
Authorized Official Name and Position | Angela Marie Tuzson (OWNER) |
Authorized Official Contact | 6057204520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Black Hills Family Practice And Wellness Llc 16401 Atall Rd Union Center SD 57787-8420 Ph: () - | Black Hills Family Practice And Wellness Llc 1010 Ballpark Rd Ste 3 Sturgis SD 57785-2208 Ph: (605) 720-4520 |
NPI Number | 1073356747 |
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Provider Enumeration Date | 06/18/2024 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 7517498983 |
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Medicare Enrollment ID | O20241009003060 |
Identifier | Type | State | Issuer |
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1073356747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Angela Marie Tuzson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881202950 PECOS PAC ID: 9830501162 Enrollment ID: I20241107001402 |
Dakota Hills Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785 Phone: 605-720-1389 | |
Dakota Hills Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785 Phone: 605-720-1389 | |