| Community Care Clinic | |
|
608 E Garfield Ave Gettysburg SD 57442-1325 | |
| (605) 765-2273 | |
| (605) 765-2273 |
| Full Name | Community Care Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 608 E Garfield Ave, Gettysburg, South Dakota |
| Authorized Official Name and Position | Rita R. Wagner (CEO) |
| Authorized Official Contact | 6052232200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Clinic 608 E Garfield Ave Gettysburg SD 57442-1325 Ph: (605) 765-2273 | Community Care Clinic 608 E Garfield Ave Gettysburg SD 57442-1325 Ph: (605) 765-2273 |
| NPI Number | 1265420004 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265420004 | NPI | - | NPPES |
| 5350190 | Medicaid | SD | |
| 4997849 | Other | SD | BCBS GROUP PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Avera Medical Group Gettysburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 E Garfield Ave Ste C, Gettysburg, SD 57442 Phone: 605-765-2273 |