| |
119 South 1st Avenue Martin SD 57551 | |
(605) 685-2800 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 119 South 1st Avenue, Martin, South Dakota |
Authorized Official Name and Position | Rhonda M Akers (HEALTH SYSTEM SPECIALIST) |
Authorized Official Contact | 6058673032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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119 South 1st Avenue Martin SD 57551 Ph: (605) 685-2800 | 119 South 1st Avenue Martin SD 57551 Ph: (605) 685-2800 |
NPI Number | 1003208257 |
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Provider Enumeration Date | 02/25/2015 |
Last Update Date | 07/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003208257 | NPI | - | NPPES |
5949000 | Medicaid | SD | |
430098 | Other | CCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
Bennett County Hospital And Nursing Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Major Allen St, Martin, SD 57551 Phone: 605-685-1660 | |
Bennett County Hospital And Nursing Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Major Allen St, Martin, SD 57551 Phone: 605-685-6622 | |