Full Name | |
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Speciality | Family Medicine |
Location | 601 E 7th St, Platte, South Dakota |
Authorized Official Name and Position | Valerie Kotilinek (MEDICAL LEAD BILLER) |
Authorized Official Contact | 6053373364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 818 Platte SD 57369-0818 Ph: (605) 337-3364 | 601 E 7th St Platte SD 57369-2123 Ph: (605) 337-3364 |
NPI Number | 1164195905 |
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Provider Enumeration Date | 07/28/2021 |
Last Update Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164195905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |