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MEDICAL ASSOCIATES CLINIC LLP NPI 1518900125


NPI Information

NPI: 1518900125
Provider Name: MEDICAL ASSOCIATES CLINIC LLP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
100 MAC LANE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5901
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MEDICAL ASSOCIATES CLINIC LLP is a multi-specialty clinic center in Pierre, SD. MEDICAL ASSOCIATES CLINIC LLP NPI is 1518900125. The provider is registered as an organization entity type.

The provider's business location address is:

100 MAC LANE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5901

The provider's authorized official is Michelle Kerzman .
The authorized official title is Business Office Manager and has the following contact phone number (605) 224-5901.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 11/19/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10314860001MEDICARE NSCSOUTH DAKOTA
222MEDICARE ID-TYPE UNSPECIFIED
30000022OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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