Geddes Medical Clinic | |
322 S Main St Geddes SD 57342-1046 | |
(605) 337-3197 | |
(605) 337-3873 |
Full Name | Geddes Medical Clinic |
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Speciality | Clinic/Center |
Location | 322 S Main St, Geddes, South Dakota |
Authorized Official Name and Position | Mark A Burket (CEO) |
Authorized Official Contact | 6053373364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geddes Medical Clinic Po Box 169 Geddes SD 57342-0169 Ph: (605) 337-3197 | Geddes Medical Clinic 322 S Main St Geddes SD 57342-1046 Ph: (605) 337-3197 |
NPI Number | 1730186073 |
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Provider Enumeration Date | 07/01/2005 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 6507770054 |
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Medicare Enrollment ID | O20060206000402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730186073 | NPI | - | NPPES |
5340400 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 10557 (South Dakota) | Primary |
Geddes Medical Clinic Avera Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 S Main St, Geddes, SD 57342 Phone: 605-337-3197 Fax: 605-337-2670 |