Garcia Family Clinic, Pllc | |
102 Main Street Po Box 301 Hayti SD 57241-0301 | |
(605) 783-2999 | |
Not Available |
Full Name | Garcia Family Clinic, Pllc |
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Speciality | Family Medicine |
Location | 102 Main Street, Hayti, South Dakota |
Authorized Official Name and Position | Josephine Garcia (PRESIDENT) |
Authorized Official Contact | 6057832999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Garcia Family Clinic, Pllc Po Box 301 Hayti SD 57241-0301 Ph: (605) 783-2999 | Garcia Family Clinic, Pllc 102 Main Street Po Box 301 Hayti SD 57241-0301 Ph: (605) 783-2999 |
NPI Number | 1891213567 |
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Provider Enumeration Date | 09/01/2017 |
Last Update Date | 09/01/2017 |
Medicare PECOS PAC ID | 6204102270 |
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Medicare Enrollment ID | O20171018001750 |
Identifier | Type | State | Issuer |
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1891213567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Evelio D Garcia |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1669436200 PECOS PAC ID: 0244205029 Enrollment ID: I20071101000461 |
Provider Name | Josephine Dc Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891752366 PECOS PAC ID: 1557419710 Enrollment ID: I20140519000765 |
Hayti Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Main Ave, Hayti, SD 57241 Phone: 605-783-3030 Fax: 605-783-1320 |