| Mellette County Health Clinic | |
|
First And Roosevelt White River SD 57579-0281 | |
| (605) 259-3121 | |
| (605) 259-3444 |
| Full Name | Mellette County Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | First And Roosevelt, White River, South Dakota |
| Authorized Official Name and Position | Marilyn Seymour (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6052593121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellette County Health Clinic Po Box 281 White River SD 57579-0281 Ph: (605) 259-3121 | Mellette County Health Clinic First And Roosevelt White River SD 57579-0281 Ph: (605) 259-3121 |
| NPI Number | 1518914829 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 01/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518914829 | NPI | - | NPPES |
| 5350230 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0004 (South Dakota) | Secondary |
| 261QC1500X | Clinic/center - Community Health | 0004 (South Dakota) | Primary |
Horizon Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 E 4th St, White River, SD 57579 Phone: 605-259-3121 |