Manderson Field Clinic | |
Downtown Manderson Manderson SD 57756 | |
(605) 867-5431 | |
Not Available |
Full Name | Manderson Field Clinic |
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Speciality | Clinic/center |
Location | Downtown Manderson, Manderson, 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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Manderson Field Clinic P.o. Box 1201 Pine Ridge SD 57770-1201 Ph: (605) 867-5131 | Manderson Field Clinic Downtown Manderson Manderson SD 57756 Ph: (605) 867-5431 |
NPI Number | 1487701348 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 08/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487701348 | NPI | - | NPPES |
5549100 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |