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103 W Pioneer Viborg SD 57070-0337 | |
(605) 326-5201 | |
(605) 326-5196 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 103 W Pioneer, Viborg, South Dakota |
Authorized Official Name and Position | Georgia Pokorney (CEO) |
Authorized Official Contact | 6053265161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 337 Viborg SD 57070-0337 Ph: (605) 326-5201 | 103 W Pioneer Viborg SD 57070-0337 Ph: (605) 326-5201 |
NPI Number | 1386834661 |
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Provider Enumeration Date | 08/01/2007 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
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1386834661 | NPI | - | NPPES |
0000085 | Other | SD | SD BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (South Dakota) | Primary |
Pioneer Memorial Hospital & Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Viborg Medical Clinic, 103 W Pioneer, Viborg, SD 57070 Phone: 605-326-5201 Fax: 605-326-5196 |