| Berg Medical Clinic Pc | |
|
221 Calumet Ave Sw De Smet SD 57231 | |
| (605) 854-9100 | |
| (605) 854-9238 |
| Full Name | Berg Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Calumet Ave Sw, De Smet, South Dakota |
| Authorized Official Name and Position | Janelle Schubloom (OFFICE MANAGER) |
| Authorized Official Contact | 6058549100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berg Medical Clinic Pc 221 Calumet Ave Sw De Smet SD 57231 Ph: (605) 854-9100 | Berg Medical Clinic Pc 221 Calumet Ave Sw De Smet SD 57231 Ph: (605) 854-9100 |
| NPI Number | 1770767782 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770767782 | NPI | - | NPPES |
| 4996058 | Other | SD | SD BLUE SHIELD |
| 5602487 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SD 4247 (South Dakota) | Primary |
Desmet Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Prairie Ave Sw, De Smet, SD 57231 Phone: 605-854-3455 | |
Avera Medical Group De Smet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 3rd St Sw, De Smet, SD 57231 Phone: 605-854-3834 Fax: 605-854-3878 |