| Avera St Benedict Crhc Tripp | |
|
310 S Main St Tripp SD 57376-2154 | |
| (605) 935-7211 | |
| (605) 935-7212 |
| Full Name | Avera St Benedict Crhc Tripp |
|---|---|
| Speciality | Family Medicine |
| Location | 310 S Main St, Tripp, South Dakota |
| Authorized Official Name and Position | Lindsay Weber (CEO/PRESIDENT) |
| Authorized Official Contact | 6059283311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera St Benedict Crhc Tripp Po Box 5045 Prv Enrlmt Palm Place Bldg Sioux Falls SD 57117-5045 Ph: (605) 322-6400 | Avera St Benedict Crhc Tripp 310 S Main St Tripp SD 57376-2154 Ph: (605) 935-7211 |
| NPI Number | 1396327698 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396327698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
Avera St. Benedict Crhc, Tripp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 S Main St, Tripp, SD 57376 Phone: 605-935-7211 |