White Family Practice Clinic

LBN: Hendricks Community Hospital Association
White Family Practice Clinic is an health care organization with primary practice located at 302 East Fifth Street , White SD 57276. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Hendricks Community Hospital Association can be contacted via phone (605) 629-8211, or through Gollaher, Jeff via phone (507) 275-3134.

Contact Information

Primary practice address
302 East Fifth Street White SD 57276
Phone: (605) 629-8211
Fax: (605) 629-8291
Website:
Map and Directions
Authorized official contact:
Name: Gollaher, Jeff
Phone: (507) 275-3134

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 11137 South Dakota

Profile Details

NPI number 1790863405
LBN Legal business name Hendricks Community Hospital Association
DBA Doing business as White Family Practice Clinic
Authorized official Gollaher, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790863405 NPPES
South Dakota MEDICAID 5306792

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