Fort Thompson Indian Health Service | |
Hwy 34 & 47 Fort Thompson SD 57339-0200 | |
(605) 245-1500 | |
(605) 245-2384 |
Full Name | Fort Thompson Indian Health Service |
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Speciality | Clinic/Center |
Location | Hwy 34 & 47, Fort Thompson, South Dakota |
Authorized Official Name and Position | Madonna M Long (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6052451500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fort Thompson Indian Health Service Hwy 34 & 47 Fort Thompson SD 57339-0200 Ph: (605) 245-1500 | Fort Thompson Indian Health Service Hwy 34 & 47 Fort Thompson SD 57339-0200 Ph: (605) 245-1500 |
NPI Number | 1710995907 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 9739080896 |
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Medicare Enrollment ID | O20040120000889 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710995907 | NPI | - | NPPES |
5549010 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Margaret J Mall |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1609975721 PECOS PAC ID: 2567365778 Enrollment ID: I20040127000789 |
Provider Name | David R Lonbaken |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760458202 PECOS PAC ID: 0749273431 Enrollment ID: I20040414001247 |
Provider Name | John L Mcfee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558498717 PECOS PAC ID: 6608780580 Enrollment ID: I20040519001601 |
Provider Name | Shakaib S Qureshi |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1821063108 PECOS PAC ID: 7517924137 Enrollment ID: I20041215000753 |
Provider Name | Jill E Thompson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174705115 PECOS PAC ID: 6305017427 Enrollment ID: I20110922000024 |
Provider Name | Xinyu D Li |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144421504 PECOS PAC ID: 3072787803 Enrollment ID: I20111114000299 |
Provider Name | Urooj Saeed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20151109000254 |
Provider Name | Katie K Augspurger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891028031 PECOS PAC ID: 2163569591 Enrollment ID: I20160302000146 |
Provider Name | Stephanie D Feltman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902286081 PECOS PAC ID: 1658676523 Enrollment ID: I20160302000203 |
Provider Name | Jimmy L Minder |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740254614 PECOS PAC ID: 5890788582 Enrollment ID: I20170306001029 |
Provider Name | Patricia J Hamiel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700179447 PECOS PAC ID: 1052694130 Enrollment ID: I20170413000644 |
Provider Name | Jordan Lee Nordquist |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679835615 PECOS PAC ID: 3779854252 Enrollment ID: I20180205001071 |
Provider Name | Janell L Simpkins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619989605 PECOS PAC ID: 6204025661 Enrollment ID: I20180308000855 |
Provider Name | Ada R Powell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770824484 PECOS PAC ID: 4688980402 Enrollment ID: I20180406000500 |
Provider Name | Ashley L Jansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124530860 PECOS PAC ID: 9931454188 Enrollment ID: I20180612002609 |
Provider Name | Monte C Junker |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1063490423 PECOS PAC ID: 9133475494 Enrollment ID: I20180629000502 |
Provider Name | David B Foley |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1891285649 PECOS PAC ID: 8325394273 Enrollment ID: I20180706000949 |
Provider Name | Sara K Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184062234 PECOS PAC ID: 2365683851 Enrollment ID: I20180713001304 |
Provider Name | Krissi Danielsson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982099420 PECOS PAC ID: 4981911757 Enrollment ID: I20180727000213 |
Provider Name | Kim Wilde |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891744140 PECOS PAC ID: 3375686173 Enrollment ID: I20190123000471 |
Provider Name | Jonathan Roebuck |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1013011626 PECOS PAC ID: 9931339199 Enrollment ID: I20190130001893 |
Provider Name | Megan R Wexler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093258808 PECOS PAC ID: 9830422930 Enrollment ID: I20190604002981 |
Provider Name | Nicole L Bamberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043702244 PECOS PAC ID: 7012265952 Enrollment ID: I20200220001792 |
Provider Name | Himabindu Borra |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1710936596 PECOS PAC ID: 4981848983 Enrollment ID: I20200327002098 |
Provider Name | Nisha J Manek |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1437139151 PECOS PAC ID: 4486798097 Enrollment ID: I20200401001340 |
Provider Name | Peter J Lloyd |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1962717918 PECOS PAC ID: 2769775568 Enrollment ID: I20200407003506 |
Provider Name | Kanan D Maniar |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1366534042 PECOS PAC ID: 7911897830 Enrollment ID: I20200521000515 |
Provider Name | Joan M Umiker |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1932659539 PECOS PAC ID: 9032533740 Enrollment ID: I20200728000091 |
Provider Name | James B Quartey |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1053322362 PECOS PAC ID: 8628101946 Enrollment ID: I20201027001756 |
Provider Name | Philip E Murphy |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689781015 PECOS PAC ID: 6901808575 Enrollment ID: I20201105001855 |
Provider Name | Mitchell J Relf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245886746 PECOS PAC ID: 0446664106 Enrollment ID: I20210121000799 |
Provider Name | Anders Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790393825 PECOS PAC ID: 6608280383 Enrollment ID: I20210121001365 |
Provider Name | Leonard G Suel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992957930 PECOS PAC ID: 3476862145 Enrollment ID: I20210128000241 |
Provider Name | Jennifer L Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598182289 PECOS PAC ID: 1850515339 Enrollment ID: I20230803000855 |
Fort Thompson Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Sd Hwy 249, Fort Thompson, SD 57339 Phone: 605-539-9836 |