| Lead-deadwood Regional Medical Clinic | |
|
71 Charles St Deadwood SD 57732-1303 | |
| (605) 717-6431 | |
| (605) 719-6470 |
| Full Name | Lead-deadwood Regional Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 71 Charles St, Deadwood, South Dakota |
| Authorized Official Name and Position | Traci Matthew (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6057176431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lead-deadwood Regional Medical Clinic 71 Charles St Deadwood SD 57732-1303 Ph: (605) 717-6431 | Lead-deadwood Regional Medical Clinic 71 Charles St Deadwood SD 57732-1303 Ph: (605) 717-6431 |
| NPI Number | 1720025190 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720025190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 42-005-460372453E (South Dakota) | Primary |
| 291U00000X | Clinical Medical Laboratory | (South Dakota) | Secondary |
Monument Health Lead-deadwood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-717-8033 | |
Monument Health Lead-deadwood Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Charles St, Deadwood, SD 57732 Phone: 605-722-6101 | |
Lead Deadwood Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 | |
Monument Health Lead-deadwood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-717-8033 |