Organization
ST BENEDICT HEALTH CENTER
Active
Organization
ST BENEDICT HEALTH CENTER
Active
Other names
Avera St. Benedict Certified Rural Health Clinic, Parkston
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY R WEBER (CEO)
(605) 928-3311
Entity
Organization
Contact information
Practice address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-7961
(605) 928-4417
Mailing address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-7961
(605) 928-4417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007353
WELLMARK PARKSTON CLINIC
SD
05
—
5340070
—
SD
Enumeration date
07/25/2006
Last updated
11/30/2022
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