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BLACK HILLS PRIMARY CARE PC NPI 1447877386


NPI Information

NPI: 1447877386
Provider Name: BLACK HILLS PRIMARY CARE PC

Doing Business As: FOOTHILLS FAMILY HEALTH & WELLNESS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 43D2190239

Address:
8075 STAGE STOP RD.
SUMMERSET, SD
ZIP 57718
Phone: (605) 719-7313
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BLACK HILLS PRIMARY CARE PC is a family medicine in Summerset, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLACK HILLS PRIMARY CARE PC NPI is 1447877386. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foothills Family Health & Wellness.

The provider's business location address is:

8075 STAGE STOP RD.
SUMMERSET, SD
ZIP 57718
Phone: (605) 719-7313
Fax: (605) 719-7333

The provider's authorized official is Kinsey A Shultz Piatz .
The authorized official title is Sole Member and has the following contact phone number (701) 595-2597.

The CLIA number assigned to this NPI record is 43D2190239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 8/25/2023.


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
1207Q00000XFamily MedicineYes

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

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