| Bowdle Clinic | |
|
8001 West 5th Street Bowdle SD 57428-0556 | |
| (605) 285-6832 | |
| (605) 285-6986 |
| Full Name | Bowdle Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8001 West 5th Street, Bowdle, South Dakota |
| Authorized Official Name and Position | Jon Kosiak (CEO) |
| Authorized Official Contact | 6052856146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowdle Clinic P.o. Box 556 Bowdle SD 57428-0556 Ph: (605) 285-6146 | Bowdle Clinic 8001 West 5th Street Bowdle SD 57428-0556 Ph: (605) 285-6832 |
| NPI Number | 1982760435 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982760435 | NPI | - | NPPES |
| 0030101 | Other | SD | BLUE CROSS |
| 5800500 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Bowdle Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 West 5th Street, Bowdle, SD 57428 Phone: 605-285-6832 Fax: 605-285-6986 | |
Bowdle Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8001 West 5th Street, Bowdle, SD 57428 Phone: 605-285-6832 Fax: 605-285-6986 |