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1100 Highway 71 S Ste 101 Hot Springs SD 57747-8801 | |
(605) 745-8050 | |
(605) 745-8051 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1100 Highway 71 S Ste 101, Hot Springs, South Dakota |
Authorized Official Name and Position | Mark Schulte (PRESIDENT CUSTER LD-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) 745-5188 | 1100 Highway 71 S Ste 101 Hot Springs SD 57747-8801 Ph: (605) 745-8050 |
NPI Number | 1215458211 |
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Provider Enumeration Date | 06/29/2017 |
Last Update Date | 03/16/2020 |
Medicare PECOS PAC ID | 5991616427 |
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Medicare Enrollment ID | O20170815000437 |
Identifier | Type | State | Issuer |
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1215458211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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