| |
1445 North Avenue Spearfish SD 57783-1552 | |
(605) 644-4170 | |
(605) 644-4198 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1445 North Avenue, Spearfish, South Dakota |
Authorized Official Name and Position | John Y Pierce (EXEC DIRECTOR) |
Authorized Official Contact | 6057198706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1445 North Avenue Spearfish SD 57783-1552 Ph: (605) 644-4170 | 1445 North Avenue Spearfish SD 57783-1552 Ph: (605) 644-4170 |
NPI Number | 1114072543 |
---|---|
Provider Enumeration Date | 01/24/2007 |
Last Update Date | 04/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114072543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | 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 | |