| Philip Health Services, Inc. | |
|
503 W Pine St Philip SD 57567-3300 | |
| (605) 859-2566 | |
| (605) 859-2948 |
| Full Name | Philip Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 503 W Pine St, Philip, South Dakota |
| Authorized Official Name and Position | Kent G Olson (CEO) |
| Authorized Official Contact | 6058592511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Health Services, Inc. 503 W Pine St Po Box 550 Philip SD 57567-3300 Ph: (605) 859-2566 | Philip Health Services, Inc. 503 W Pine St Philip SD 57567-3300 Ph: (605) 859-2566 |
| NPI Number | 1700838117 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 7214831866 |
|---|---|
| Medicare Enrollment ID | O20040528000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700838117 | NPI | - | NPPES |
| 5340090 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | David A Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629048954 PECOS PAC ID: 1951364140 Enrollment ID: I20041109000451 |
| Provider Name | Regg A Hagge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902850779 PECOS PAC ID: 3375444508 Enrollment ID: I20050829000465 |
| Provider Name | Kerry A Blackham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922014273 PECOS PAC ID: 6800789439 Enrollment ID: I20160823000327 |
| Provider Name | Angela Braaten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669683322 PECOS PAC ID: 6709974884 Enrollment ID: I20211117001547 |
| Provider Name | Jenna M Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891560538 PECOS PAC ID: 8729424759 Enrollment ID: I20240312003144 |
Philip Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 W Pine St, Philip, SD 57567 Phone: 605-859-2566 Fax: 605-859-2948 |