Organization
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Active
Other names
Viborg Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA POKORNEY (CEO)
(605) 326-5161
Entity
Organization
Contact information
Practice address
103 W PIONEER, VIBORG, SD 57070-0337
(605) 326-5201
(605) 326-5196
Mailing address
PO BOX 337, VIBORG, SD 57070-0337
(605) 326-5201
(605) 326-5196
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000085
SD BLUE SHIELD
SD
Enumeration date
08/01/2007
Last updated
01/04/2012
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