NPIMap

Organization Active NPI

Philip Clinic

Doing business as Phiip Clinic

  • Clinic/Center
  • Philip, SD
National Provider Identifier
1609453422
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PHILIP CLINIC
Doing business as
Phiip Clinic
Practice address
503 W Pine St
Philip, SD 57567-3300
Phone
(605) 859-2566
Fax
(605) 859-2948
NPI assigned
Mar 26, 2021
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PHILIP HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maureen Cadwell
Title
Ceo
Phone
(605) 859-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

503 W Pine St
Philip, SD 57567-3300

Mailing address

PO Box 550
Philip, SD 57567-0550
Phone (605) 859-2566

Other identifiers 1

IdentifierTypeStateIssuer
5340090MedicaidSD

Other names 1

  • PHIIP CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1036504Philip Clinic503 West Pine, Philip, SD 57567Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
G J Mangulis MD5 organizations share this tax ID, including this one
Part of
G J Mangulis MD

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1609453422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575670550",
            "telephone_number": "605-859-2566",
            "fax_number": "605-859-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2566",
            "fax_number": "605-859-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILIP HEALTH SERVICES, INC",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-859-2511"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5340090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHIIP CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philip, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.