Prairie View Medical Clinic | |
3405 6th St Ste 5 Brookings SD 57006-4401 | |
(605) 695-6712 | |
Not Available |
Full Name | Prairie View Medical Clinic |
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Speciality | Clinic/Center |
Location | 3405 6th St Ste 5, Brookings, South Dakota |
Authorized Official Name and Position | Jennifer Olson (PRESIDENT/CEO) |
Authorized Official Contact | 6056937862 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prairie View Medical Clinic 3405 6th St Ste 5 Brookings SD 57006-4401 Ph: (605) 693-7862 | Prairie View Medical Clinic 3405 6th St Ste 5 Brookings SD 57006-4401 Ph: (605) 695-6712 |
NPI Number | 1508635772 |
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Provider Enumeration Date | 12/28/2023 |
Last Update Date | 04/17/2024 |
Medicare PECOS PAC ID | 4183063050 |
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Medicare Enrollment ID | O20240412000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508635772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer Olson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285623439 PECOS PAC ID: 7810945243 Enrollment ID: I20070226000300 |
Sanford Clinic Brookings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 22nd Ave S, Brookings, SD 57006 Phone: 605-397-1900 Fax: 605-697-1919 | |
Avera Medical Group A Department Of Brookings Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Rural Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 22nd Ave Ste 1, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-9627 | |
Family Wellness Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 W 2nd St S, Brookings, SD 57006 Phone: 605-692-1772 Fax: 605-692-2353 | |
Dr. Chad D. Kalil, Optometrist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 6th St, Brookings, SD 57006 Phone: 605-692-3595 | |
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