| Landmann Jungman Memorial Hospital Corporation | |
|
610 Billars St Scotland SD 57059-2026 | |
| (605) 583-2227 | |
| Not Available |
| Full Name | Landmann Jungman Memorial Hospital Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 Billars St, Scotland, South Dakota |
| Authorized Official Name and Position | Melissa Gale (CEO) |
| Authorized Official Contact | 6055832226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmann Jungman Memorial Hospital Corporation 610 Billars St Scotland SD 57059-2026 Ph: (605) 583-2227 | Landmann Jungman Memorial Hospital Corporation 610 Billars St Scotland SD 57059-2026 Ph: (605) 583-2227 |
| NPI Number | 1649321407 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 2961461421 |
|---|---|
| Medicare Enrollment ID | O20041008001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649321407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10561 (South Dakota) | Primary |
| Provider Name | Brandi D Pravecek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093800427 PECOS PAC ID: 7315830205 Enrollment ID: I20040204000904 |
| Provider Name | Nancy L Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972596724 PECOS PAC ID: 4688566110 Enrollment ID: I20040329000440 |
| Provider Name | Rose Marie Hoiten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962496752 PECOS PAC ID: 3274568662 Enrollment ID: I20051005000100 |
| Provider Name | Antoinette J Vanderpol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689655789 PECOS PAC ID: 7214910694 Enrollment ID: I20100709000365 |
| Provider Name | Lindsay Rae Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770867715 PECOS PAC ID: 5698949618 Enrollment ID: I20111130000762 |
| Provider Name | Melissa R Kludt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053667808 PECOS PAC ID: 6608025861 Enrollment ID: I20121003000179 |
| Provider Name | Larissa Sanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518287457 PECOS PAC ID: 1951543404 Enrollment ID: I20151105001496 |
| Provider Name | Ryan F Poppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053806455 PECOS PAC ID: 2163771825 Enrollment ID: I20180814003084 |
| Provider Name | Christine A Duerksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902468424 PECOS PAC ID: 3274961727 Enrollment ID: I20200316000897 |
| Provider Name | Lucinda K Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558593954 PECOS PAC ID: 5294154753 Enrollment ID: I20201001002641 |
| Provider Name | Melody A Shrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306131602 PECOS PAC ID: 1658523865 Enrollment ID: I20201106001077 |
| Provider Name | Ashley M Nicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164298840 PECOS PAC ID: 8527411453 Enrollment ID: I20240126004114 |
| Provider Name | Robin M Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962241604 PECOS PAC ID: 9234677816 Enrollment ID: I20240814000810 |