| Prairie Health Clinic Wagner | |
|
310 W Sd Highway 46 Wagner SD 57380-9304 | |
| (605) 724-2151 | |
| Not Available |
| Full Name | Prairie Health Clinic Wagner |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 310 W Sd Highway 46, Wagner, South Dakota |
| Authorized Official Name and Position | Nicole J Neugebauer (CPC, CPC-H) |
| Authorized Official Contact | 6057242151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Health Clinic Wagner 310 W Sd Highway 46 Wagner SD 57380-9304 Ph: (605) 384-4577 | Prairie Health Clinic Wagner 310 W Sd Highway 46 Wagner SD 57380-9304 Ph: (605) 724-2151 |
| NPI Number | 1609013317 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609013317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wagner Indian Health Service Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Washington Ave, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 | |
Wagner Community Clinic Avera Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3418 Fax: 605-384-5240 |