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103 East State St. Martin SD 57551-0845 | |
(605) 685-6710 | |
(605) 685-6714 |
Full Name | |
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Speciality | Clinic/center |
Location | 103 East State St., Martin, South Dakota |
Authorized Official Name and Position | Gayle E Kocer (ACTING DIRECTOR) |
Authorized Official Contact | 6056856710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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103 East State St. P O Box 845 Martin SD 57551-0845 Ph: (605) 685-6710 | 103 East State St. Martin SD 57551-0845 Ph: (605) 685-6710 |
NPI Number | 1447474192 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447474192 | NPI | - | NPPES |
5000350 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |