| Missouri Breaks Medical | |
|
Hc 64 Box 52 Timber Lake SD 57656-9740 | |
| (605) 964-3418 | |
| (605) 934-3415 |
| Full Name | Missouri Breaks Medical |
|---|---|
| Speciality | Clinic/center |
| Location | Hc 64 Box 52, Timber Lake, South Dakota |
| Authorized Official Name and Position | Timothy J O'leary (OWNER) |
| Authorized Official Contact | 6059643418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Breaks Medical Hc 64 Box 52 Timber Lake SD 57656-9740 Ph: (605) 964-3418 | Missouri Breaks Medical Hc 64 Box 52 Timber Lake SD 57656-9740 Ph: (605) 964-3418 |
| NPI Number | 1235329053 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235329053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
West Dakota Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 906 Main St, Timber Lake, SD 57656 Phone: 605-865-3258 |