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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