Bowdle Rural Health Clinic | |
8001 West 5th Street Bowdle SD 57428 | |
(605) 285-6832 | |
(605) 285-6986 |
Full Name | Bowdle Rural Health Clinic |
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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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bowdle Rural Health Clinic P.o. Box 556 Bowdle SD 57428-0556 Ph: (605) 285-6146 | Bowdle Rural Health Clinic 8001 West 5th Street Bowdle SD 57428 Ph: (605) 285-6832 |
NPI Number | 1942395835 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9335056902 |
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Medicare Enrollment ID | O20021010000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942395835 | NPI | - | NPPES |
5340200 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (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 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 |