| Access Health Kennebec | |
|
120 South Main Street Kennebec SD 57544 | |
| (605) 869-2872 | |
| (605) 869-2873 |
| Full Name | Access Health Kennebec |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 South Main Street, Kennebec, South Dakota |
| Authorized Official Name and Position | James Hardwick (CEO) |
| Authorized Official Contact | 6052232200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Health Kennebec 120 South Main Street Kennebec SD 57544-0176 Ph: (058) 692-8726 | Access Health Kennebec 120 South Main Street Kennebec SD 57544 Ph: (605) 869-2872 |
| NPI Number | 1740669381 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 11/26/2021 |
| Medicare PECOS PAC ID | 3476447541 |
|---|---|
| Medicare Enrollment ID | O20150918001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740669381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Avera Medical Group Kennebec Area Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 South Main Street, Kennebec, SD 57544 Phone: 605-869-2872 Fax: 605-869-2873 |