| Community Health Center Of The Black Hills, Inc | |
|
350 Pine Street Rapid City SD 57701 | |
| (605) 721-8919 | |
| (605) 721-8834 |
| Full Name | Community Health Center Of The Black Hills, Inc |
|---|---|
| Speciality | General Practice |
| Location | 350 Pine Street, Rapid City, South Dakota |
| Authorized Official Name and Position | Timothy Trithart (CEO) |
| Authorized Official Contact | 6057218939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of The Black Hills, Inc 350 Pine Street Rapid City SD 57701 Ph: (605) 721-8919 | Community Health Center Of The Black Hills, Inc 350 Pine Street Rapid City SD 57701 Ph: (605) 721-8919 |
| NPI Number | 1518219633 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518219633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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