Lake Preston Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Preston, South Dakota. The current practice location for Lake Preston Clinic is 709 4th St Se, Lake Preston, South Dakota. For appointments, you can reach them via phone at
(605) 847-4484. The mailing address for Lake Preston Clinic is 709 4th St Se, Lake Preston, South Dakota and phone number is (605) 847-4484.
Lake Preston Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1629181904. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(605) 847-4484.
Primary Care Clinic Profile
| Full Name | Lake Preston Clinic |
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| Speciality | Clinic/Center |
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| Location | 709 4th St Se, Lake Preston, South Dakota |
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| Authorized Official Name and Position | John Mengenhausen (CEO) |
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| Authorized Official Contact | 6057724525 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lake Preston Clinic
709 4th St Se
Lake Preston
SD 57249-2116
Ph: (605) 847-4484 | Lake Preston Clinic
709 4th St Se
Lake Preston
SD 57249-2116
Ph: (605) 847-4484 |
NPI Details:
| NPI Number | 1629181904 |
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| Provider Enumeration Date | 08/17/2006 |
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| Last Update Date | 06/23/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8921997933 |
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| Medicare Enrollment ID | O20081008000286 |
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Medical Identifiers
Medical identifiers for Lake Preston Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629181904 | NPI | - | NPPES |
| 5350030 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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