| Wall Regional Medical Clinic | |
|
112 7th Avenue Wall SD 57790-0000 | |
| (605) 279-2149 | |
| (605) 279-2139 |
| Full Name | Wall Regional Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 112 7th Avenue, Wall, South Dakota |
| Authorized Official Name and Position | Michael E Gibbs (PRESIDENT-RCRH) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wall Regional Medical Clinic Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 279-2149 | Wall Regional Medical Clinic 112 7th Avenue Wall SD 57790-0000 Ph: (605) 279-2149 |
| NPI Number | 1629457841 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629457841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wall Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139 | |
Wall Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Ave, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139 | |
Wall Regional Medical Clinic Part B Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-1027 | |
Wall Regional Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-1027 | |
Wall Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 7th Avenue, Wall, SD 57790 Phone: 605-279-2149 Fax: 605-279-2139 |