Lemmon Clinic | |
401 6th Ave W Lemmon SD 57638-1318 | |
(605) 374-3773 | |
(605) 374-3425 |
Full Name | Lemmon Clinic |
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Speciality | Clinic/Center |
Location | 401 6th Ave W, Lemmon, South Dakota |
Authorized Official Name and Position | James Long (CEO) |
Authorized Official Contact | 7015676184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lemmon Clinic 1000 Highway 12 Hettinger ND 58639-7530 Ph: (701) 567-4561 | Lemmon Clinic 401 6th Ave W Lemmon SD 57638-1318 Ph: (605) 374-3773 |
NPI Number | 1801987904 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 05/14/2013 |
Medicare PECOS PAC ID | 0042127045 |
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Medicare Enrollment ID | O20020814000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801987904 | NPI | - | NPPES |
5306772 | Medicaid | SD | |
4999834 | Other | SD | BLUE CROSS OF SOUTH DAKOT |
005026 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |