RAPID CITY MEDICAL CENTER LLP NPI 1104290980

NPI Information

NPI: 1104290980
Provider Name: RAPID CITY MEDICAL CENTER LLP

Other Name: RAPID CITY MEDICAL CENTER FIFTH STREET

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3615 5TH ST
SUITE 107
RAPID CITY, SD
ZIP 57701
Phone: (605) 342-3280
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RAPID CITY MEDICAL CENTER LLP is a multi-specialty clinic center in Rapid City, SD. RAPID CITY MEDICAL CENTER LLP NPI is 1104290980. The provider is registered as an organization entity type.
The provider Other Name Is Rapid City Medical Center Fifth Street.

The provider's business location address is:

3615 5TH ST
SUITE 107
RAPID CITY, SD
ZIP 57701-014
Phone: (605) 342-3280

The provider's authorized official is Jennifer Hammerbeck .
The authorized official title is Ceo and has the following contact phone number (605) 342-3280.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CR0392	OTHER		RAILROAD MEDICARE
2	S74	MEDICARE PIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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