| Lewis & Clark Family Medicine | |
|
2525 Fox Run Parkway Ste 200 Yankton SD 57078-5371 | |
| (605) 260-2100 | |
| (605) 665-5200 |
| Full Name | Lewis & Clark Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 2525 Fox Run Parkway, Yankton, South Dakota |
| Authorized Official Name and Position | Doug Doorn (CEO) |
| Authorized Official Contact | 6056655100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis & Clark Family Medicine 2525 Fox Run Parkway Ste 200 Yankton SD 57078-5371 Ph: (605) 260-2100 | Lewis & Clark Family Medicine 2525 Fox Run Parkway Ste 200 Yankton SD 57078-5371 Ph: (605) 260-2100 |
| NPI Number | 1134471527 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134471527 | NPI | - | NPPES |
| 47834 | Other | SD | DEPARTMENT OF HEALTH |
| 5508070 | Medicaid | SD | |
| 0108070 | Medicaid | SD | |
| 430096 | Other | SD | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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