Lake Preston Clinic - Medicare Primary Care in Lake Preston, SD

Lake Preston Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Preston, South Dakota. The current practice location for Lake Preston Clinic is 709 4th St Se, Lake Preston, South Dakota. For appointments, you can reach them via phone at (605) 847-4484. The mailing address for Lake Preston Clinic is 709 4th St Se, Lake Preston, South Dakota and phone number is (605) 847-4484.

Lake Preston Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629181904. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 847-4484.

Contact Information

Lake Preston Clinic
709 4th St Se
Lake Preston
SD 57249-2116
(605) 847-4484
Not Available

Primary Care Clinic Profile

Full NameLake Preston Clinic
SpecialityClinic/Center
Location709 4th St Se, Lake Preston, South Dakota
Authorized Official Name and PositionJohn Mengenhausen (CEO)
Authorized Official Contact6057724525
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Preston Clinic
709 4th St Se
Lake Preston
SD 57249-2116

Ph: (605) 847-4484
Lake Preston Clinic
709 4th St Se
Lake Preston
SD 57249-2116

Ph: (605) 847-4484

NPI Details:

NPI Number1629181904
Provider Enumeration Date08/17/2006
Last Update Date06/23/2008

Medicare PECOS Information:

Medicare PECOS PAC ID8921997933
Medicare Enrollment IDO20081008000286

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Medical Identifiers

Medical identifiers for Lake Preston Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629181904NPI-NPPES
5350030MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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Clinic/Center in Lake Preston, SD


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