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Bowdle Clinic

Bowdle Clinic is a health care provider in Bowdle, SD. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 8001 West 5th Street, Bowdle, SD 57428-0556, US
Practice Location Phone605-285-6832
Practice Location Fax605-285-6986
Legal Business NameBOWDLE CLINIC
NPI ?1982760435
Entity TypeOrganization
Enumeration Date ? Dec 29, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bowdle Clinic

SpecialtySpecializationLicenseLicense State
Clinic/Center

legacy-id-icon Legacy Provider IDs of Bowdle Clinic

Provider IdIssuer StateIssuer TypeIssuer
5800500South DakotaMedicaid
0030101South DakotaOtherBLUE CROSS

official-icon Authorized Official of Bowdle Clinic

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bowdle Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Jon Kosiak
Authorized Official Title/PositionCEO
Authorized Official Phone Number605-285-6146