| Parker Medical Clinic | |
|
100 E Sanborn St Parker SD 57053 | |
| (605) 297-3888 | |
| (605) 297-3974 |
| Full Name | Parker Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 E Sanborn St, Parker, South Dakota |
| Authorized Official Name and Position | Georgia Pokorney (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6053265161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Medical Clinic Po Box 368 Viborg SD 57070-0368 Ph: (605) 326-5161 | Parker Medical Clinic 100 E Sanborn St Parker SD 57053 Ph: (605) 297-3888 |
| NPI Number | 1619925450 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/04/2012 |
| Medicare PECOS PAC ID | 9234042755 |
|---|---|
| Medicare Enrollment ID | O20100715000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619925450 | NPI | - | NPPES |
| 5340290 | Medicaid | SD | |
| 4993928 | Other | SD | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Pioneer Memorial Hospital & Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Sanborn St, Parker, SD 57053 Phone: 605-297-3888 Fax: 605-297-3974 |