Organization
HOVEN MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY JENSEN (BUSINESS MANAGER)
(605) 948-2262
Entity
Organization
Contact information
Practice address
70 5TH STREET, HOVEN, SD 57450-0787
(605) 948-2201
Mailing address
PO BOX 787, HOVEN, SD 57450-0787
(605) 948-2201
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000137
WELLMARCK OF SD GROUP#
SD
05
—
5306700
—
SD
Enumeration date
01/23/2006
Last updated
03/14/2008
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