NPI:
1114931797
Provider Name:
ST. BENEDICT HEALTH CENTER
Doing Business As: AVERA ST. BENEDICT CERTIFIED RURAL HEALTH CLINIC, LAKE ANDES
Classification:
Clinic/Center - 261QR1300X
Entity Type:
Organization
Specialization: Rural Health
CLIA Number: 43D0698570
Address:
756 EAST LAKE STREET
LAKE ANDES, SD
ZIP 57356
Phone:
(605) 487-7878
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ST. BENEDICT HEALTH CENTER is a rural health clinic center in Lake Andes, SD. ST. BENEDICT HEALTH CENTER NPI is 1114931797. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera St. Benedict Certified Rural Health Clinic, Lake Andes.
The provider's business location address is:
756 EAST LAKE STREET
LAKE ANDES, SD
ZIP 57356
Phone: (605) 487-7878
Fax: (605) 487-9566
The provider's authorized official is Lindsay R Weber .
The authorized official title is Ceo and has the following contact phone number (605) 928-3311.
The CLIA number assigned to this NPI record is 43D0698570 - rural health clinic with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 7/28/2006 and was last updated on 11/30/2022.