| Custer Regional Clinic | |
|
1041 Montgomery St Custer SD 57730-1304 | |
| (605) 673-4150 | |
| Not Available |
| Full Name | Custer Regional Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1041 Montgomery St, Custer, South Dakota |
| Authorized Official Name and Position | Timothy H Sughrue (COO-RCRH EXECUTIVE MANAGEMENT) |
| Authorized Official Contact | 6057198162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custer Regional Clinic Po Box 3450 Rapid City SD 57709-3450 Ph: (605) 673-4150 | Custer Regional Clinic 1041 Montgomery St Custer SD 57730-1304 Ph: (605) 673-4150 |
| NPI Number | 1639403843 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639403843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Custer Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Montgomery St, Custer, SD 57730 Phone: 605-673-4150 | |
Southern Hills Family Medicine, Prof Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1369 Montgomery St, Custer, SD 57730 Phone: 605-673-3900 | |
Regional Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Montgomery St, Custer, SD 57730 Phone: 605-673-4150 |