| Coteau Des Prairies Wilmot Clinic | |
|
409 4th St Wilmot SD 57279-2214 | |
| (605) 938-4351 | |
| (605) 938-4481 |
| Full Name | Coteau Des Prairies Wilmot Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 409 4th St, Wilmot, South Dakota |
| Authorized Official Name and Position | Craig Kantos (ADMINISTRATOR, CEO) |
| Authorized Official Contact | 6056987647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coteau Des Prairies Wilmot Clinic 205 Orchard Dr Sisseton SD 57262-2312 Ph: (605) 698-7681 | Coteau Des Prairies Wilmot Clinic 409 4th St Wilmot SD 57279-2214 Ph: (605) 938-4351 |
| NPI Number | 1710033220 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710033220 | NPI | - | NPPES |
| 5340230 | Medicaid | SD | |
| 12440 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Couteau Des Priaires Hospital & Clinic Wilmot Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 4th St, Wilmot, SD 57279 Phone: 605-938-4351 Fax: 605-938-4481 | |
Avera Medical Group Wilmot Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 4th St, Wilmot, SD 57279 Phone: 605-938-4351 Fax: 605-938-4351 |