VERMILLION MEDICAL CLINIC - NPI 1306962162 - General Practice in Vermillion, SD

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Vermillion Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERMILLION MEDICAL CLINIC (NPI 1306962162) is a healthcare organization registered as a general practice in Vermillion, South Dakota and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Charles A Aman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306962162

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameYANKTON MEDICAL CLINIC PC

Location Address101 S PLUM STVermillion, SD 57069-3306

Mailing Address101 S Plum StVermillion, SD 57069-3306 · (605) 624-8643

Phone(605) 624-8643

Organization SubpartYes

Authorized OfficialCharles A AmanExecutive Director · (605) 665-7841

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 19, 2008

✔ NPI 1306962162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

101 S PLUM ST, Vermillion, SD 57069

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Other Names 1

Doing Business AsVermillion Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0665154

Vermillion Medical Clinic An Avera Partner · Vermillion, SD

Active · expires Dec 22, 2027

CLIA Number43D0665154

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorGarth Aasen

Laboratory Phone(605) 624-8643

Laboratory LocationVermillion Medical Clinic An Avera Partner101 S Plum Street, Vermillion, SD 57069

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHIL D JAQUITH PA

Physician Assistant (Medical)