Healthcare Provider Details

I. General information

NPI: 1942209309
Provider Name (Legal Business Name): RAMOS CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 1ST ST
SCOTLAND SD
57059-2040
US

IV. Provider business mailing address

PO BOX 407
SCOTLAND SD
57059-0407
US

V. Phone/Fax

Practice location:
  • Phone: 605-583-4450
  • Fax: 605-583-4846
Mailing address:
  • Phone: 605-583-4450
  • Fax: 605-583-4846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1052
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1052
License Number StateSD

VIII. Authorized Official

Name: DR. MANUEL D RAMOS
Title or Position: PRESIDENT
Credential: MD
Phone: 605-583-4450