| Fall River Clinic | |
|
1201 Highway 71 South Hot Springs SD 57747-1374 | |
| (605) 745-3159 | |
| (605) 745-3957 |
| Full Name | Fall River Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Highway 71 South, Hot Springs, South Dakota |
| Authorized Official Name and Position | John B Miller (ADMINISTRATOR) |
| Authorized Official Contact | 6057453159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall River Clinic 1201 Highway 71 South Hot Springs SD 57747-1374 Ph: (605) 745-3159 | Fall River Clinic 1201 Highway 71 South Hot Springs SD 57747-1374 Ph: (605) 745-3159 |
| NPI Number | 1043228810 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/30/2010 |
| Medicare PECOS PAC ID | 3678485075 |
|---|---|
| Medicare Enrollment ID | O20040212000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043228810 | NPI | - | NPPES |
| 5340260 | Medicaid | SD | |
| 83423 | Other | SD | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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