Bison Community Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bison, South Dakota. The current practice location for Bison Community Clinic is 105 W Main St., Bison, South Dakota. For appointments, you can reach them via phone at
(605) 244-5206. The mailing address for Bison Community Clinic is Po Box 427, Bison, South Dakota and phone number is (605) 244-5206.
Bison Community Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1598731648. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(605) 244-5206.
Primary Care Clinic Profile
| Full Name | Bison Community Clinic |
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| Speciality | Clinic/Center |
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| Location | 105 W Main St., Bison, South Dakota |
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| Authorized Official Name and Position | John Mengenhausen (AUTHORIZED OFFICIAL CEO) |
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| Authorized Official Contact | 6057724525 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bison Community Clinic
Po Box 427
Bison
SD 57620-0427
Ph: (605) 244-5206 | Bison Community Clinic
105 W Main St.
Bison
SD 57620-0427
Ph: (605) 244-5206 |
NPI Details:
| NPI Number | 1598731648 |
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| Provider Enumeration Date | 02/28/2006 |
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| Last Update Date | 02/09/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8921997933 |
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| Medicare Enrollment ID | O20160209002559 |
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Medical Identifiers
Medical identifiers for Bison Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598731648 | NPI | - | NPPES |
| 5350300 | Medicaid | SD | |
| 42509 | Other | | MED B GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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