Avera Medical Group Colome | |
308 Main St Colome SD 57528-0108 | |
(605) 842-1186 | |
Not Available |
Full Name | Avera Medical Group Colome |
---|---|
Speciality | Clinic/center |
Location | 308 Main St, Colome, South Dakota |
Authorized Official Name and Position | Julie N Norton (VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avera Medical Group Colome Po Box 108 308 Main St Colome SD 57528-0108 Ph: (605) 842-1186 | Avera Medical Group Colome 308 Main St Colome SD 57528-0108 Ph: (605) 842-1186 |
NPI Number | 1548290539 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 03/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548290539 | NPI | - | NPPES |
0000028 | Other | SD | WELLMARK BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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