Organization
DOUGLAS COUNTY MEMORIAL HOSPITAL
Active
Other names
Prairie Health Clinic Wagner
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J NEUGEBAUER (CPC, CPC-H)
(605) 724-2151
Entity
Organization
Contact information
Practice address
310 W SD HIGHWAY 46, WAGNER, SD 57380-9304
(605) 724-2151
Mailing address
310 W SD HIGHWAY 46, WAGNER, SD 57380-9304
(605) 384-4577
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
12/06/2011
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