WEBER MEDICAL SERVICES PC NPI 1295802619

NPI Information

NPI: 1295802619
Provider Name: WEBER MEDICAL SERVICES PC

Former Legal Business Name: MAIN STREET MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
109 PUGH STREET
MARTIN, SD
ZIP 57551
Phone: (605) 685-1450
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WEBER MEDICAL SERVICES PC is a family medicine in Martin, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEBER MEDICAL SERVICES PC NPI is 1295802619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Main Street Medical Clinic.

The provider's business location address is:

109 PUGH STREET
MARTIN, SD
ZIP 57551-370
Phone: (605) 685-1450
Fax: (605) 685-1453

The provider's authorized official is Diane M Weber .
The authorized official title is Owner and has the following contact phone number (605) 685-1450.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 10/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0304	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5300880	MEDICAID	SOUTH DAKOTA
2	4994699	OTHER	SOUTH DAKOTA	WELLMARK
3	433889	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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