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717 Saint Francis St Rapid City SD 57701-4677 | |
| (605) 342-2880 | |
| (605) 388-4617 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 717 Saint Francis St, Rapid City, South Dakota |
| Authorized Official Name and Position | Jennifer T Hammerbeck (CEO) |
| Authorized Official Contact | 6053423280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 6020 Rapid City SD 57709-6020 Ph: (605) 342-3280 | 717 Saint Francis St Rapid City SD 57701-4677 Ph: (605) 342-2880 |
| NPI Number | 1881033579 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881033579 | NPI | - | NPPES |
| CR0392 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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