Wall Clinic - Primary Care in Wall, SD

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

Wall Clinic 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

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

Primary Care Clinic Profile

Full NameWall Clinic
SpecialityClinic/center - Rural Health
Location112 7th Ave, Wall, South Dakota
Authorized Official Name and PositionEster Johannesen (CLINIC COORDINATOR)
Authorized Official Contact6052792149
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wall Clinic
Po Box 423
Wall
SD 57790-0423

Ph: (605) 279-2149
Wall Clinic
112 7th Ave
Wall
SD 57790-0423

Ph: (605) 279-2149

NPI Details:

NPI Number1063494789
Provider Enumeration Date11/17/2005
Last Update Date03/25/2008

Medical Identifiers

Medical identifiers for Wall Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063494789NPI-NPPES
5300040MedicaidSD
4999946OtherSDBCBS # FOR WALL CLINIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

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Clinic/Center in Wall, SD

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 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
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

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