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238 Elm St Hill City SD 57745-8911 | |
(605) 574-4470 | |
(605) 574-2352 |
Full Name | |
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Speciality | Clinic/Center |
Location | 238 Elm St, Hill City, South Dakota |
Authorized Official Name and Position | Mark C Schmidt (PRESIDENT CUSTER LEAD-DWD HOSPITAL) |
Authorized Official Contact | 6057176020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 574-4470 | 238 Elm St Hill City SD 57745-8911 Ph: (605) 574-4470 |
NPI Number | 1265637003 |
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Provider Enumeration Date | 06/20/2007 |
Last Update Date | 04/20/2020 |
Medicare PECOS PAC ID | 5991616427 |
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Medicare Enrollment ID | O20141222002210 |
Identifier | Type | State | Issuer |
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1265637003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
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