| Huron Clinic Foundation Ltd | |
|
111 4th St Se Huron SD 57350-2509 | |
| (605) 352-8691 | |
| (605) 352-1617 |
| Full Name | Huron Clinic Foundation Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 111 4th St Se, Huron, South Dakota |
| Authorized Official Name and Position | Leanne Kopfmann (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6053528691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huron Clinic Foundation Ltd 111 4th St Se Huron SD 57350-2509 Ph: (605) 352-8691 | Huron Clinic Foundation Ltd 111 4th St Se Huron SD 57350-2509 Ph: (605) 352-8691 |
| NPI Number | 1184626962 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 01/24/2019 |
| Medicare PECOS PAC ID | 9739071069 |
|---|---|
| Medicare Enrollment ID | O20040329001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184626962 | NPI | - | NPPES |
| 0001 | Other | TRICARE | |
| 5585000 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 43D0407501 (South Dakota) | Secondary |
| Provider Name | Kristi K Glanzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245232008 PECOS PAC ID: 4587705199 Enrollment ID: I20100105000282 |
| Provider Name | Amy M Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386015535 PECOS PAC ID: 0648570713 Enrollment ID: I20151120001330 |
| Provider Name | Michelle Marie Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790253953 PECOS PAC ID: 0648511501 Enrollment ID: I20190403001476 |
| Provider Name | Patrick Anolf Koistinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639854532 PECOS PAC ID: 7315391968 Enrollment ID: I20230929002916 |
Nathan H Loewen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 3rd St Se, Huron, SD 57350 Phone: 605-352-2117 Fax: 605-554-2200 | |
Lois I Truh, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Dakota Ave S, Huron, SD 57350 Phone: 605-352-7070 Fax: 605-352-6878 | |
James Valley Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 18th St Sw Ste 27, Huron, SD 57350 Phone: 605-554-1015 | |
Sanford Clinic Family Medicine Huron Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-2117 Fax: 605-325-5513 | |
Women's Wellness Center, Prof. L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2390 Hawaii Ave Sw, Huron, SD 57350 Phone: 612-578-4374 | |
George A. Nicholas, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Iowa Ave Se, Suite 106, Huron, SD 57350 Phone: 605-352-7711 |