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1440 N Main Street Spearfish SD 57783-1505 | |
(605) 644-4000 | |
(605) 644-4247 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1440 N Main Street, Spearfish, South Dakota |
Authorized Official Name and Position | Thomas Worsley (PRESIDENT SPEARFISH HOSPITAL) |
Authorized Official Contact | 6056444091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 644-4000 | 1440 N Main Street Spearfish SD 57783-1505 Ph: (605) 644-4000 |
NPI Number | 1174569347 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 03/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174569347 | NPI | - | NPPES |
5800282 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 10566 (South Dakota) | Primary |
Spearfish Health Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-642-2030 | |