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.
|Practice Location||8001 West 5th Street, Bowdle, SD 57428-0556, US|
|Practice Location Phone||605-285-6832|
|Practice Location Fax||605-285-6986|
|Legal Business Name||BOWDLE CLINIC|
|Enumeration Date ?||Dec 29, 2006|
|Last Update Date ?||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities|
|Provider Id||Issuer State||Issuer Type||Issuer|
|0030101||South Dakota||Other||BLUE CROSS|
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/Position||CEO|
|Authorized Official Phone Number||605-285-6146|