| Black Hills Family Practice Inc | |
|
1010 Ballpark Rd Ste 3 Sturgis SD 57785-2208 | |
| (605) 720-4520 | |
| Not Available |
| Full Name | Black Hills Family Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Ballpark Rd Ste 3, Sturgis, South Dakota |
| Authorized Official Name and Position | Ann Hodgman (OWNER) |
| Authorized Official Contact | 6057204520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Family Practice Inc 1010 Ballpark Rd Ste 3 Sturgis SD 57785-2208 Ph: (605) 720-4520 | Black Hills Family Practice Inc 1010 Ballpark Rd Ste 3 Sturgis SD 57785-2208 Ph: (605) 720-4520 |
| NPI Number | 1992206023 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 6103253208 |
|---|---|
| Medicare Enrollment ID | O20200303000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992206023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ann M Hodgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992739320 PECOS PAC ID: 4587720859 Enrollment ID: I20090311000680 |
Dakota Hills Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785 Phone: 605-720-1389 | |
Dakota Hills Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Road, Suite 3, Sturgis, SD 57785 Phone: 605-720-1389 | |
Jen Med Prof Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785 Phone: 605-347-3684 Fax: 605-347-0083 | |
Dakota Hills Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785 Phone: 605-720-1389 | |
Dakota Hills Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Ste 3, Sturgis, SD 57785 Phone: 605-720-1389 Fax: 605-720-1453 | |
Monument Health Sturgis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 Junction Avenue, Sturgis, SD 57785 Phone: 605-720-2600 Fax: 605-720-2611 | |
Dakota Hills Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ballpark Rd, Suite 3, Sturgis, SD 57785 Phone: 605-720-1389 |