Organization
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Active
Organization
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Active
Other names
Parker Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA POKORNEY (CHIEF EXECUTIVE OFFICER)
(605) 326-5161
Entity
Organization
Contact information
Practice address
100 E SANBORN ST, PARKER, SD 57053
(605) 297-3888
(605) 297-3974
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
(605) 326-5734
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993928
WELLMARK
SD
05
—
5340290
—
SD
Enumeration date
05/04/2006
Last updated
01/04/2012
Update your record
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