| Black Hills Hospitalist | |
|
101 E Minnesota St Suite 261 Rapid City SD 57701-7756 | |
| (605) 718-7450 | |
| (605) 718-7465 |
| Full Name | Black Hills Hospitalist |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Minnesota St, Rapid City, South Dakota |
| Authorized Official Name and Position | Dave R Johnson (PRESIDENT) |
| Authorized Official Contact | 6057187450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Hospitalist 101 E Minnesota St Suite 261 Rapid City SD 57701-7756 Ph: (605) 718-7450 | Black Hills Hospitalist 101 E Minnesota St Suite 261 Rapid City SD 57701-7756 Ph: (605) 718-7450 |
| NPI Number | 1073843124 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073843124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0502 (South Dakota) | Primary |
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