Bridgewater Clinic | |
208 N Main St Bridgewater SD 57319-0017 | |
(605) 729-2421 | |
Not Available |
Full Name | Bridgewater Clinic |
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Speciality | Clinic/center |
Location | 208 N Main St, Bridgewater, South Dakota |
Authorized Official Name and Position | Dennis D Ries (MD) |
Authorized Official Contact | 6059254219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridgewater Clinic Po Box 17 Bridgewater SD 57319-0017 Ph: (605) 729-2421 | Bridgewater Clinic 208 N Main St Bridgewater SD 57319-0017 Ph: (605) 729-2421 |
NPI Number | 1760453260 |
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Provider Enumeration Date | 02/01/2006 |
Last Update Date | 03/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760453260 | NPI | - | NPPES |
5300900 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (South Dakota) | Primary |
Freeman Regional Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 S Main Ave, Bridgewater, SD 57319 Phone: 605-729-2427 |