| Springs Hometown Healthcare | |
|
242 S Chicago St Hot Springs SD 57747-2332 | |
| (605) 745-4128 | |
| Not Available |
| Full Name | Springs Hometown Healthcare |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 242 S Chicago St, Hot Springs, South Dakota |
| Authorized Official Name and Position | Brenda Lynn Vandewater (CNP PRESIDENT) |
| Authorized Official Contact | 6057454128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springs Hometown Healthcare 242 S Chicago St Hot Springs SD 57747-2332 Ph: (605) 745-4128 | Springs Hometown Healthcare 242 S Chicago St Hot Springs SD 57747-2332 Ph: (605) 745-4128 |
| NPI Number | 1528823606 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 1052759909 |
|---|---|
| Medicare Enrollment ID | O20240410003992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528823606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Brenda Vandewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669847067 PECOS PAC ID: 7315236775 Enrollment ID: I20160525001313 |
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