BOWDLE CLINIC NPI 1922171057

NPI Information

  • NPI: 1922171057
  • Provider Name: BOWDLE CLINIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 43D0717701
  • Address: 8001 WEST 5TH STREET
    BOWDLE, SD
    ZIP 57428
  • Phone: (605) 285-6832

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NPI Details

BOWDLE CLINIC is a clinic center in Bowdle, SD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BOWDLE CLINIC NPI is 1922171057. The provider is registered as an organization entity type.

The provider's business location address is:

8001 WEST 5TH STREET
BOWDLE, SD
ZIP 57428
Phone: (605) 285-6832
Fax: (605) 285-6986

The provider's authorized official is Jon Kosiak .
The authorized official title is Ceo and has the following contact phone number (605) 285-6146.

The CLIA number assigned to this NPI record is 43D0717701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 3/30/2025

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