Jones County Clinic | |
609 Garfield Ave Murdo SD 57559 | |
(605) 669-2121 | |
(605) 669-3301 |
Full Name | Jones County Clinic |
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Speciality | Clinic/Center |
Location | 609 Garfield Ave, Murdo, South Dakota |
Authorized Official Name and Position | James M Hardwick (CEO) |
Authorized Official Contact | 6052232200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jones County Clinic 202 Island Dr Ste 1 Fort Pierre SD 57532-7303 Ph: (605) 669-2121 | Jones County Clinic 609 Garfield Ave Murdo SD 57559 Ph: (605) 669-2121 |
NPI Number | 1720076441 |
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Provider Enumeration Date | 10/06/2005 |
Last Update Date | 04/24/2023 |
Medicare PECOS PAC ID | 3476447541 |
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Medicare Enrollment ID | O20040210000648 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720076441 | NPI | - | NPPES |
0002646 | Other | SD | BCBS GROUP PROVIDER NUMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Mark Ballard |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801909718 PECOS PAC ID: 7012821721 Enrollment ID: I20031117000871 |
Provider Name | Kristie L Goens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245204957 PECOS PAC ID: 0345148359 Enrollment ID: I20031229000915 |
Provider Name | Nathan J Hinker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710957188 PECOS PAC ID: 9537054002 Enrollment ID: I20040216000632 |
Provider Name | Nancy L Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972596724 PECOS PAC ID: 4688566110 Enrollment ID: I20040329000440 |
Provider Name | Matthew D Christiansen |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639136088 PECOS PAC ID: 2062406655 Enrollment ID: I20040414001552 |
Provider Name | Kenneth A Bartholomew |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639144363 PECOS PAC ID: 9436142197 Enrollment ID: I20040415000937 |
Provider Name | Richard S Hieb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801844824 PECOS PAC ID: 2668446873 Enrollment ID: I20040824000286 |
Provider Name | Daniel Cecil |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700844131 PECOS PAC ID: 5193636884 Enrollment ID: I20040824000328 |
Provider Name | Matt N Bien |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972553949 PECOS PAC ID: 8527032671 Enrollment ID: I20040824000652 |
Provider Name | Debra J Rodeghiero Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043268063 PECOS PAC ID: 6305810375 Enrollment ID: I20040825000025 |
Provider Name | Sarah J Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538119581 PECOS PAC ID: 6901872126 Enrollment ID: I20040908001186 |
Provider Name | Rebecca S Vandekop |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669422606 PECOS PAC ID: 0446141006 Enrollment ID: I20041102000330 |
Provider Name | Lucio N Margallo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639271034 PECOS PAC ID: 1557328499 Enrollment ID: I20041213000765 |
Provider Name | Darrell W Plumage |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013938844 PECOS PAC ID: 1254380728 Enrollment ID: I20050121000748 |
Provider Name | Michael T Richardson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912971094 PECOS PAC ID: 5799778494 Enrollment ID: I20050919000591 |
Provider Name | Philip F Meyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972595981 PECOS PAC ID: 1355334046 Enrollment ID: I20050919000774 |
Provider Name | Jonathan C Olegario |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376532697 PECOS PAC ID: 6002831286 Enrollment ID: I20051008000078 |
Provider Name | Trevor A Meaney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982674537 PECOS PAC ID: 3173543634 Enrollment ID: I20051129000450 |
Provider Name | Kasey J Hanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346246493 PECOS PAC ID: 3779565593 Enrollment ID: I20060113000097 |
Provider Name | Dennis G Leland |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467418772 PECOS PAC ID: 6305805169 Enrollment ID: I20070808000007 |
Provider Name | Kenric D Malmberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376585885 PECOS PAC ID: 4981795796 Enrollment ID: I20070808000757 |
Provider Name | Janine D Bassett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568461804 PECOS PAC ID: 1355344151 Enrollment ID: I20071025000491 |
Provider Name | James F Walery |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851366207 PECOS PAC ID: 8628167814 Enrollment ID: I20071211000742 |
Provider Name | Betsy M Van Genderen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780865626 PECOS PAC ID: 4486735917 Enrollment ID: I20080122000694 |
Provider Name | Joseph O Wyatt |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1871561126 PECOS PAC ID: 2860565363 Enrollment ID: I20080716000652 |
Provider Name | Chad J Carda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013139823 PECOS PAC ID: 3375637671 Enrollment ID: I20080821000093 |
Provider Name | Jill D Kruse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114967403 PECOS PAC ID: 4486722725 Enrollment ID: I20081014000157 |
Provider Name | Katherine E Mcgraw |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144203514 PECOS PAC ID: 5890748693 Enrollment ID: I20090311000590 |
Provider Name | Kevin B Bray |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932100914 PECOS PAC ID: 6002944303 Enrollment ID: I20100506000777 |
Provider Name | Theresa Mae Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073583621 PECOS PAC ID: 6103715628 Enrollment ID: I20100720000767 |
Provider Name | Aaron P Baas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114144375 PECOS PAC ID: 2163489477 Enrollment ID: I20100923000452 |
Provider Name | Joseph P Prasek |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326016650 PECOS PAC ID: 2466645015 Enrollment ID: I20101015000272 |
Provider Name | Shelby Eischens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770529844 PECOS PAC ID: 3678511086 Enrollment ID: I20110106000990 |
Provider Name | James A Wagner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528239860 PECOS PAC ID: 9335319326 Enrollment ID: I20110830000791 |
Provider Name | Nicole M Poppinga |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1013118512 PECOS PAC ID: 7517130206 Enrollment ID: I20111025000120 |
Provider Name | Heidi M Gehrke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083991012 PECOS PAC ID: 3779757810 Enrollment ID: I20111129000566 |
Provider Name | Katie Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932464435 PECOS PAC ID: 0244487155 Enrollment ID: I20120829000173 |
Provider Name | Andrew Ellsworth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568690758 PECOS PAC ID: 6507015724 Enrollment ID: I20121003000820 |
Provider Name | Dawn R Bucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992713739 PECOS PAC ID: 4587705744 Enrollment ID: I20130124000488 |
Provider Name | Zoilo O Lansang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598077729 PECOS PAC ID: 0244474799 Enrollment ID: I20130923000783 |
Provider Name | Stacy A Visker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518398403 PECOS PAC ID: 3779716329 Enrollment ID: I20140506000483 |
Provider Name | Vanessa V Ferguson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659408805 PECOS PAC ID: 7517181985 Enrollment ID: I20140605001073 |
Provider Name | Connie M Belford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588095038 PECOS PAC ID: 2466676762 Enrollment ID: I20140606000054 |
Provider Name | Mark D List |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801188891 PECOS PAC ID: 2365678885 Enrollment ID: I20140827000241 |
Provider Name | Nathan J Timmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972890911 PECOS PAC ID: 0648499129 Enrollment ID: I20140915002700 |
Provider Name | Arica K Nickles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942618459 PECOS PAC ID: 6204055924 Enrollment ID: I20141120002719 |
Provider Name | Nicholas S Torbert |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528379393 PECOS PAC ID: 1153648381 Enrollment ID: I20150326001063 |
Provider Name | Xenofon Papadopoulos |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1306943576 PECOS PAC ID: 6002813748 Enrollment ID: I20150915000956 |
Provider Name | Lacey Amber Bonte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780055780 PECOS PAC ID: 5890096069 Enrollment ID: I20151211000776 |
Provider Name | Jackie J Bau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073971321 PECOS PAC ID: 2264731348 Enrollment ID: I20160422001798 |
Provider Name | Meghan J Torgerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134584584 PECOS PAC ID: 8628367471 Enrollment ID: I20160517002218 |
Provider Name | Anne M Kvamme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710329628 PECOS PAC ID: 8921231648 Enrollment ID: I20160601002818 |
Provider Name | Whitney Kroupa |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205200243 PECOS PAC ID: 6002100278 Enrollment ID: I20160810002313 |
Provider Name | Kelly M Evans-hullinger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871869057 PECOS PAC ID: 6709106685 Enrollment ID: I20160819001922 |
Provider Name | Johanna Bieberly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508892241 PECOS PAC ID: 0648165720 Enrollment ID: I20160906002603 |
Provider Name | Rachel J Sunne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851634406 PECOS PAC ID: 0446473078 Enrollment ID: I20170112002055 |
Provider Name | Stacy R Stoterau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497203780 PECOS PAC ID: 0345523965 Enrollment ID: I20170206001772 |
Provider Name | Teresa L Mead-hahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013452325 PECOS PAC ID: 4486931383 Enrollment ID: I20170502001392 |
Provider Name | Laura J Axsom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417495649 PECOS PAC ID: 7113294901 Enrollment ID: I20170526001119 |
Provider Name | Kayla M Hannemann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922427830 PECOS PAC ID: 3476770686 Enrollment ID: I20170823002135 |
Provider Name | Sarah C Sapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174048235 PECOS PAC ID: 9234403171 Enrollment ID: I20170915003033 |
Provider Name | Jesse J Barondeau |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760683585 PECOS PAC ID: 3173846474 Enrollment ID: I20180103001281 |
Provider Name | Denise Roemen-kramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275981110 PECOS PAC ID: 8921386715 Enrollment ID: I20180212002576 |
Provider Name | Mary L Borgstadt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407828569 PECOS PAC ID: 6305885260 Enrollment ID: I20180403002724 |
Provider Name | Rosalee R Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063901122 PECOS PAC ID: 0749535649 Enrollment ID: I20180618001897 |
Provider Name | Rachel L Dykstra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609358035 PECOS PAC ID: 3971857467 Enrollment ID: I20181120001542 |
Provider Name | Teresa A Jatczak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457835639 PECOS PAC ID: 7214273291 Enrollment ID: I20190111001981 |
Provider Name | Angela M Broughton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154896801 PECOS PAC ID: 3274879267 Enrollment ID: I20190111002189 |
Provider Name | Theresa C Hansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588021919 PECOS PAC ID: 6507162948 Enrollment ID: I20190208001296 |
Provider Name | Tammy Jo Vande Kamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427417898 PECOS PAC ID: 4981947595 Enrollment ID: I20190523000726 |
Provider Name | Natalie S Hutton |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033234414 PECOS PAC ID: 3779723499 Enrollment ID: I20190603001587 |
Provider Name | Maggie A Riggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649831637 PECOS PAC ID: 4587993670 Enrollment ID: I20190916001977 |
Provider Name | Daylon D Wigart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134682933 PECOS PAC ID: 8729318738 Enrollment ID: I20190917004077 |
Provider Name | Egbert Grinage |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487093969 PECOS PAC ID: 8123245123 Enrollment ID: I20191210001191 |
Provider Name | Lori A Iversen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558903914 PECOS PAC ID: 5991139594 Enrollment ID: I20200106003084 |
Provider Name | Jacob Adam Thomas |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437538303 PECOS PAC ID: 6608113766 Enrollment ID: I20200302000112 |
Provider Name | Samantha L Konechne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053920421 PECOS PAC ID: 0648698555 Enrollment ID: I20200909001666 |
Provider Name | Mary F Ahlers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609301365 PECOS PAC ID: 9335551530 Enrollment ID: I20201211001819 |
Provider Name | Shannon A Ladd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982291209 PECOS PAC ID: 1153734074 Enrollment ID: I20210113001077 |
Provider Name | Tanya R Hagen-lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336711472 PECOS PAC ID: 9335543289 Enrollment ID: I20210813002741 |
Provider Name | Molly C Mcmanus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285117028 PECOS PAC ID: 4486994688 Enrollment ID: I20210902002980 |
Provider Name | Natalie A Mushitz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912491077 PECOS PAC ID: 7517214760 Enrollment ID: I20210913002240 |
Provider Name | Ashleigh E Eilts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164095113 PECOS PAC ID: 6608274386 Enrollment ID: I20211011001489 |
Provider Name | Madelyn R Ponto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629740857 PECOS PAC ID: 6002205366 Enrollment ID: I20211109000277 |
Provider Name | Marissia K Schaefer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801551544 PECOS PAC ID: 6709277320 Enrollment ID: I20211215001377 |
Provider Name | Kassidy R Boyd |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629501077 PECOS PAC ID: 6507257094 Enrollment ID: I20211216001365 |
Provider Name | Maureen P Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336815935 PECOS PAC ID: 5092108746 Enrollment ID: I20220202000993 |
Provider Name | Samuel E Hagman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1225658297 PECOS PAC ID: 5294150298 Enrollment ID: I20220607000447 |
Provider Name | Amy M Sprague |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20220711001161 |
Provider Name | Jonathan T Mochel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528521861 PECOS PAC ID: 3173850682 Enrollment ID: I20220910000433 |
Provider Name | Lyndsay R Symens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811620198 PECOS PAC ID: 9133505027 Enrollment ID: I20220929002488 |
Provider Name | Tessa N Warner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760911549 PECOS PAC ID: 7416223565 Enrollment ID: I20230322002501 |
Provider Name | Mahalia N Kappes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780399709 PECOS PAC ID: 5991170540 Enrollment ID: I20230412001843 |
Provider Name | Charissa M Etrheim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578192423 PECOS PAC ID: 2567884323 Enrollment ID: I20231204003399 |
Provider Name | Jay E Naoom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952003865 PECOS PAC ID: 0042678088 Enrollment ID: I20231212003664 |
Provider Name | Alejandra G Schreur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376315127 PECOS PAC ID: 4183074735 Enrollment ID: I20231222002529 |