| Avera Medical Group Flandreau | |
|
212 North Prairie Street Flandreau SD 57028-1296 | |
| (605) 997-2471 | |
| (605) 997-2418 |
| Full Name | Avera Medical Group Flandreau |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 North Prairie Street, Flandreau, South Dakota |
| Authorized Official Name and Position | Julie N Norton (SENIOR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Flandreau 212 North Prairie Street Flandreau SD 57028-1296 Ph: (605) 997-2471 | Avera Medical Group Flandreau 212 North Prairie Street Flandreau SD 57028-1296 Ph: (605) 997-2471 |
| NPI Number | 1619948007 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 02/16/2011 |
| Medicare PECOS PAC ID | 0345157103 |
|---|---|
| Medicare Enrollment ID | O20060919000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619948007 | NPI | - | NPPES |
| 10025371500 | Medicaid | NE | |
| 106366608 | Other | SD | DEPARTMENT OF LABOR |
| 126277700 | Medicaid | MN | |
| 9216572 | Other | SD | DAKOTACARE |
| 10025485500 | Other | NE | RHC MEDICAID NE |
| 5340320 | Medicaid | SD | |
| 659S2FL | Other | MN | BCBS OF MN |
| 4995978 | Other | SD | BCBS OF SOUTH DAKOTA |
| 95027 | Other | SD | HEALTHPARTNERS |
| 0571919 | Medicaid | IA | |
| 659S2FL | Other | MN | CC SYSTEMS BLUE PLUS |
| 80484900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
On Point Chiropractic And Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 2nd Ave, Flandreau, SD 57028 Phone: 605-864-9001 |