| Creekside Medical Clinic, Prof. Llc | |
|
2620 Jackson Blvd Suite C Rapid City SD 57702-1502 | |
| (605) 341-1208 | |
| Not Available |
| Full Name | Creekside Medical Clinic, Prof. Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2620 Jackson Blvd, Rapid City, South Dakota |
| Authorized Official Name and Position | Nancy E Babbitt (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6053411208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Medical Clinic, Prof. Llc 2620 Jackson Blvd Suite C Rapid City SD 57702-1502 Ph: (605) 341-1208 | Creekside Medical Clinic, Prof. Llc 2620 Jackson Blvd Suite C Rapid City SD 57702-1502 Ph: (605) 341-1208 |
| NPI Number | 1902110836 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Medicare PECOS PAC ID | 2062693799 |
|---|---|
| Medicare Enrollment ID | O20110228000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902110836 | NPI | - | NPPES |
| 5610718 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4583 (South Dakota) | Primary |
| Provider Name | Nancy E Babbitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770694671 PECOS PAC ID: 5193622025 Enrollment ID: I20031217000980 |
| Provider Name | Jon M Wingert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891724407 PECOS PAC ID: 0941236574 Enrollment ID: I20050714000397 |
| Provider Name | Carson C Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518372127 PECOS PAC ID: 0648569673 Enrollment ID: I20170911003154 |
| Provider Name | Taylor M Kapsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114378916 PECOS PAC ID: 4486947231 Enrollment ID: I20190821001955 |
| Provider Name | Kyle J Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386966133 PECOS PAC ID: 5294028056 Enrollment ID: I20190910002443 |
| Provider Name | Ann P Hibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578914370 PECOS PAC ID: 4385937127 Enrollment ID: I20191018001071 |
James M. Keegan Md Professional Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 5th St, Suite 1b, Rapid City, SD 57701 Phone: 605-342-8329 | |
Rapid City Medical Center Llp Westside Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3810 Jackson Blvd, Rapid City, SD 57702 Phone: 605-343-4050 | |
Kirby Health Care, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Centre St Ste 102, Rapid City, SD 57703 Phone: 605-484-9775 Fax: 605-343-3007 | |
Rapid City Medical Center Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Minnesota St, Suite 210, Rapid City, SD 57701 Phone: 605-342-3280 | |
Family Medicine Residency Clinic Part B Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Monroe St, Rapid City, SD 57701 Phone: 605-719-4060 Fax: 605-755-7884 | |
Swanson Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E Saint Patrick St, 101, Rapid City, SD 57701 Phone: 605-721-6510 Fax: 605-721-6515 | |
Black Hills Hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Minnesota St, Suite 261, Rapid City, SD 57701 Phone: 605-718-7450 Fax: 605-718-7465 |