| Desmet Community Health Center | |
|
401 Prairie Ave Sw De Smet SD 57231-2333 | |
| (605) 854-3455 | |
| Not Available |
| Full Name | Desmet Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Prairie Ave Sw, De Smet, South Dakota |
| Authorized Official Name and Position | John Mengenhausen (CEO) |
| Authorized Official Contact | 6057724574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desmet Community Health Center Po Box 49 De Smet SD 57231-0049 Ph: (605) 854-3455 | Desmet Community Health Center 401 Prairie Ave Sw De Smet SD 57231-2333 Ph: (605) 854-3455 |
| NPI Number | 1831208883 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 8921997933 |
|---|---|
| Medicare Enrollment ID | O20081008000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831208883 | NPI | - | NPPES |
| 5350170 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Berg Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Calumet Ave Sw, De Smet, SD 57231 Phone: 605-854-9100 Fax: 605-854-9238 | |
Avera Medical Group De Smet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 3rd St Sw, De Smet, SD 57231 Phone: 605-854-3834 Fax: 605-854-3878 |