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915 Mountain View Rd Rapid City SD 57702-3414 | |
| (605) 719-1000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 915 Mountain View Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | John Pierce (MONUMENT HEALTH PRESIDENT) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 6000 Rapid City SD 57709-6000 Ph: (605) 755-7200 | 915 Mountain View Rd Rapid City SD 57702-3414 Ph: (605) 719-1000 |
| NPI Number | 1861469587 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861469587 | NPI | - | NPPES |
| 8S077 | Other | SD | WELLMARK |
| 0230130 | Medicaid | SD | |
| 0230132 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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