<unavail> in Wall, SD - Clinic/Center

is a primary clinic (Clinic/center - Rural Health) in Wall, South Dakota. The current practice location for is 112 7th Ave, Wall, South Dakota. For appointments, you can reach them via phone at (605) 279-2149. The mailing address for is Po Box 423, Wall, South Dakota and phone number is (605) 279-2149.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1063494789. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (605) 279-2149.

Contact Information


	112 7th Ave Wall SD 57790-0423
	(605) 279-2149
	(605) 279-2139

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Rural Health
Location	112 7th Ave, Wall, South Dakota
Authorized Official Name and Position	Ester Johannesen (CLINIC COORDINATOR)
Authorized Official Contact	6052792149
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 423 Wall SD 57790-0423 Ph: (605) 279-2149	112 7th Ave Wall SD 57790-0423 Ph: (605) 279-2149

NPI Details:

NPI Number	1063494789
Provider Enumeration Date	11/17/2005
Last Update Date	03/25/2008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063494789	NPI	-	NPPES
5300040	Medicaid	SD
4999946	Other	SD	BCBS # FOR WALL CLINIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Wall, SD

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-1027
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-1027
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139

- Primary Care in Wall, SD