| Bonesteel Medical Clinic | |
|
314 Mellette Street Bonesteel SD 57317-0342 | |
| (605) 654-9021 | |
| Not Available |
| Full Name | Bonesteel Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 Mellette Street, Bonesteel, South Dakota |
| Authorized Official Name and Position | Mistie Drey (CEO) |
| Authorized Official Contact | 6057752621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonesteel Medical Clinic 314 Mellette Street Bonesteel SD 57317-0342 Ph: (605) 654-9021 | Bonesteel Medical Clinic 314 Mellette Street Bonesteel SD 57317-0342 Ph: (605) 654-9021 |
| NPI Number | 1033147384 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 2163317900 |
|---|---|
| Medicare Enrollment ID | O20040519000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033147384 | NPI | - | NPPES |
| 5340240 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Bonesteel Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Mellette St, Bonesteel, SD 57317 Phone: 605-654-9021 |