YANKTON MEDICAL CLINIC PC NPI 1174502561

NPI Information

YANKTON MEDICAL CLINIC PC is an ambulatory surgical clinic center in Yankton, SD. YANKTON MEDICAL CLINIC PC NPI is 1174502561. The provider is registered as an organization entity type.

The provider's business location address is:

1104 W 8TH ST
YANKTON, SD
ZIP 57078
Phone: (605) 665-7841
Fax: (605) 665-0546

The provider's authorized official is Charles A Aman .
The authorized official title is Executive Director and has the following contact phone number (605) 665-7841.

The CLIA number assigned to this NPI record is 43D0406973 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 5/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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