Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 238 Elm Street, Hill City, South Dakota |
Authorized Official Name and Position | Timothy H Sughrue (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6057558162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
353 Fairmont Blvd Rapid City SD 57701-7375 Ph: (605) 755-9142 | 238 Elm Street Hill City SD 57745 Ph: (605) 574-4470 |
NPI Number | 1609275908 |
---|---|
Provider Enumeration Date | 08/22/2014 |
Last Update Date | 08/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609275908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Great Plains Geriatrics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 Ponderosa Ave, Hill City, SD 57745 Phone: 612-987-1090 | |
Wound Cure Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 Ponderosa Ave, Hill City, SD 57745 Phone: 303-525-7250 |