1609453422 NPI number — PHILIP CLINIC

Table of content: (NPI 1609453422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609453422 NPI number — PHILIP CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHILIP CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609453422
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 550
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILIP
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57567-0550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-859-2566
Provider Business Mailing Address Fax Number:
605-859-2948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
503 W PINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILIP
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57567-3300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-859-2566
Provider Business Practice Location Address Fax Number:
605-859-2948
Provider Enumeration Date:
03/26/2021

Additional Information

Authorized Official

Authorized Official Last Name:
PFEIFLE
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
FAY
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
605-859-2511

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5340090 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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