Sanford Clear Lake Clinic | |
701 3rd Ave S Clear Lake SD 57226-2016 | |
(605) 874-8484 | |
(605) 874-3529 |
Full Name | Sanford Clear Lake Clinic |
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Speciality | Clinic/Center |
Location | 701 3rd Ave S, Clear Lake, South Dakota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sanford Clear Lake Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clear Lake Clinic 701 3rd Ave S Clear Lake SD 57226-2016 Ph: (605) 874-8484 |
NPI Number | 1720129638 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 6800707100 |
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Medicare Enrollment ID | O20070716000764 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720129638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Deuel County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 3rd Ave S, Clear Lake, SD 57226 Phone: 605-874-2141 Fax: 605-874-3529 |