| Avera Medical Group Howard | |
|
213 South Main Howard SD 57349 | |
| (605) 772-4426 | |
| (605) 772-4261 |
| Full Name | Avera Medical Group Howard |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 213 South Main, Howard, South Dakota |
| Authorized Official Name and Position | Douglas Ekeren (PRESIDENT/CEO) |
| Authorized Official Contact | 6056688322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Howard 525 N Foster St Mitchell SD 57301-2966 Ph: (605) 995-2000 | Avera Medical Group Howard 213 South Main Howard SD 57349 Ph: (605) 772-4426 |
| NPI Number | 1326043092 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326043092 | NPI | - | NPPES |
| 5300492 | Medicaid | SD | |
| CR0890 | Other | SD | MEDICARE RR |
| 4999748 | Other | SD | WELLMARK |
| RR1029 | Other | SD | MEDICARE RAILROAD |
| 00-00593 | Other | SD | MEDICA |
| 5300493 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | N/A (South Dakota) | Primary |
Howard Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 South Main, Howard, SD 57349 Phone: 605-772-4574 | |
Avera Medical Group Howard Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 South Main, Howard, SD 55734 Phone: 605-772-4426 Fax: 605-772-4261 |