| West River Health Clinic | |
|
103 1st Ave East Mc Laughlin SD 57642-0520 | |
| (605) 823-4253 | |
| Not Available |
| Full Name | West River Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 1st Ave East, Mc Laughlin, South Dakota |
| Authorized Official Name and Position | Renae Tisdall (CFO) |
| Authorized Official Contact | 6058458164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West River Health Clinic Po Box 520 Mc Laughlin SD 57642-0520 Ph: (605) 823-4253 | West River Health Clinic 103 1st Ave East Mc Laughlin SD 57642-0520 Ph: (605) 823-4253 |
| NPI Number | 1457328841 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 10/06/2016 |
| Medicare PECOS PAC ID | 6507776135 |
|---|---|
| Medicare Enrollment ID | O20030514000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457328841 | NPI | - | NPPES |
| 5300702 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mclaughlin Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 2nd Ave East, Mc Laughlin, SD 57642 Phone: 605-823-4458 Fax: 605-823-4470 |