Eureka Medical Clinic Avera | |
200 J Ave Ste A Eureka SD 57437-2225 | |
(605) 284-2661 | |
(605) 284-2054 |
Full Name | Eureka Medical Clinic Avera |
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Speciality | Clinic/Center |
Location | 200 J Ave Ste A, Eureka, South Dakota |
Authorized Official Name and Position | Carmen Weber (ADMINISTRATOR) |
Authorized Official Contact | 6052842661 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eureka Medical Clinic Avera Po Box 517 Eureka SD 57437-0517 Ph: () - | Eureka Medical Clinic Avera 200 J Ave Ste A Eureka SD 57437-2225 Ph: (605) 284-2661 |
NPI Number | 1881047371 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 05/01/2020 |
Medicare PECOS PAC ID | 5698711653 |
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Medicare Enrollment ID | O20160825002692 |
Identifier | Type | State | Issuer |
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1881047371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Antonio M Alandy |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083624241 PECOS PAC ID: 5991747677 Enrollment ID: I20050523001243 |
Provider Name | Susan M Ostrowski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851343933 PECOS PAC ID: 4082615059 Enrollment ID: I20070118000535 |
Provider Name | Jamie Nicole Hartung |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801521869 PECOS PAC ID: 1759764988 Enrollment ID: I20220819002080 |
Eureka Medical Clinic Avera Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 J Ave Ste A, Eureka, SD 57437 Phone: 605-284-2621 Fax: 605-284-2623 |