Viborg Medical Clinic | |
103 W Pioneer Viborg SD 57070-0337 | |
(605) 326-5201 | |
(605) 326-5196 |
Full Name | Viborg Medical Clinic |
---|---|
Speciality | Clinic/Center |
Location | 103 W Pioneer, Viborg, South Dakota |
Authorized Official Name and Position | Georgia Pokorney (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6053265161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Viborg Medical Clinic Po Box 337 Viborg SD 57070-0337 Ph: (605) 326-5201 | Viborg Medical Clinic 103 W Pioneer Viborg SD 57070-0337 Ph: (605) 326-5201 |
NPI Number | 1619926706 |
---|---|
Provider Enumeration Date | 05/08/2006 |
Last Update Date | 10/25/2018 |
Medicare PECOS PAC ID | 9234042755 |
---|---|
Medicare Enrollment ID | O20031111000252 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619926706 | NPI | - | NPPES |
5345000 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Provider Name | Scott W Ecklund |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306892633 PECOS PAC ID: 2769472380 Enrollment ID: I20040515000306 |
Provider Name | Denise S Hanisch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154375608 PECOS PAC ID: 1951304849 Enrollment ID: I20060815000136 |
Provider Name | Whitney J Delforge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265709141 PECOS PAC ID: 8527234764 Enrollment ID: I20120110000366 |
Provider Name | Kayla M Mehlhaf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154681880 PECOS PAC ID: 3577719285 Enrollment ID: I20120813000609 |
Provider Name | Tara K Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093221871 PECOS PAC ID: 0941561310 Enrollment ID: I20180227001508 |
Provider Name | Gabriel David Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275938680 PECOS PAC ID: 3274842851 Enrollment ID: I20181002002173 |
Provider Name | Anna Marie Husman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053969030 PECOS PAC ID: 9830420462 Enrollment ID: I20191014001789 |
Provider Name | Alex Steven Kalsbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003451881 PECOS PAC ID: 3476987173 Enrollment ID: I20200106002927 |
Provider Name | Sarah Boschee Krush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013403583 PECOS PAC ID: 0941621619 Enrollment ID: I20200604001952 |
Provider Name | Melody A Shrack |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306131602 PECOS PAC ID: 1658523865 Enrollment ID: I20201106001077 |
Provider Name | Dana Huether |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144954835 PECOS PAC ID: 9335522572 Enrollment ID: I20220819002384 |
Provider Name | Stacy Loreen Wachholtz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710605118 PECOS PAC ID: 1850767104 Enrollment ID: I20230225000200 |
Provider Name | Victoria Schlaht |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093591315 PECOS PAC ID: 0941657050 Enrollment ID: I20240516000281 |
Turner County Family & Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N. Washington St, Viborg, SD 57070 Phone: 605-326-5161 Fax: 605-326-4057 | |
Viborg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Pioneer, Viborg, SD 57070 Phone: 605-326-5201 Fax: 605-326-5196 | |
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 |