| Complete Health | |
|
350 Pine St Rapid City SD 57701-1669 | |
| (605) 721-8939 | |
| (605) 721-8853 |
| Full Name | Complete Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 Pine St, Rapid City, South Dakota |
| Authorized Official Name and Position | Timothy Trihart (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6057218939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health 350 Pine St Rapid City SD 57701-1669 Ph: (605) 721-8939 | Complete Health 350 Pine St Rapid City SD 57701-1669 Ph: (605) 721-8939 |
| NPI Number | 1669508677 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/19/2024 |
| Medicare PECOS PAC ID | 7618886334 |
|---|---|
| Medicare Enrollment ID | O20040305000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669508677 | NPI | - | NPPES |
| SD04129S3001 | Other | SD | MEDICARE PART B |
| SD04129S3000 | Other | SD | MEDICARE PART B |
| 5350060 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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