Wagner Community Memorial Hospital
Wagner Community Memorial Hospital provides Family Medicine Physician services in Wagner, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.
- Licensed in
- SD
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
513 3rd St SWWagner, SD 57380-9675
Phone: (605) 384-3418
Fax: (605) 384-5240
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 10571 (SD) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 10571 (SD) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 10571 (SD) |
Record details
| NPI number | 1740306992 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bernadette Koupal — Bus. Office Manager · (605) 384-3611 |
| Other names | Wagner Community Clinic Avera |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | March 7, 2017 |
| Mailing address | Po Box 280, Wagner, SD 57380-0280 |
Other providers in Wagner
-
Dr. Gretchen Marie Esplund, MD
111 Washington Avenue North W, Wagner, SD 57380-0490 · (605) 384-3621
-
Mikaela Jean Koenig
513 3rd St SW, Wagner, SD 57380-9675 · (605) 384-3418
-
Jarod Myer, FNP-C
513 3rd St SW, Wagner, SD 57380-9675 · (605) 384-3611
-
Tianna Rose Smith, MD
513 3rd St SW, Wagner, SD 57380-9675 · (605) 384-3611