Organization
YANKTON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A AMAN (EXECUTIVE DIRECTOR)
(605) 665-7841
Entity
Organization
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5580660
—
SD
01
—
690005599
RAILROAD MEDICARE
SD
Enumeration date
01/13/2006
Last updated
08/17/2009
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