| Avera Colman Medical Clinic | |
|
109 N. Main Colman SD 57017 | |
| (0) - | |
| Not Available |
| Full Name | Avera Colman Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 109 N. Main, Colman, South Dakota |
| Authorized Official Name and Position | Marilyn Hogan (RN CLINIC MANAGER) |
| Authorized Official Contact | 6054285446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Colman Medical Clinic 109 N. Main Colman SD 57017 Ph: () - | Avera Colman Medical Clinic 109 N. Main Colman SD 57017 Ph: (0) - |
| NPI Number | 1194873851 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194873851 | NPI | - | NPPES |
| 5610960 | Medicaid | SD | |
| 5611290 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5054 (South Dakota) | Secondary |
| 207Q00000X | Family Medicine | 4884 (South Dakota) | Primary |