| |
1900 Grassland Dr Ste 103 Mitchell SD 57301-6386 | |
(605) 995-7000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1900 Grassland Dr Ste 103, Mitchell, South Dakota |
Authorized Official Name and Position | James M Hardwick (CEO) |
Authorized Official Contact | 6052232200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1900 Grassland Dr Ste 103 Mitchell SD 57301-6386 Ph: (605) 995-7000 | 1900 Grassland Dr Ste 103 Mitchell SD 57301-6386 Ph: (605) 995-7000 |
NPI Number | 1669027678 |
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Provider Enumeration Date | 08/06/2019 |
Last Update Date | 11/12/2021 |
Medicare PECOS PAC ID | 3476447541 |
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Medicare Enrollment ID | O20191022003525 |
Identifier | Type | State | Issuer |
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1669027678 | NPI | - | NPPES |
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