| Medical Associates Of The Black Hillc, Llc. | |
|
640 Flormann St Ste 100 Rapid City SD 57701-4695 | |
| (605) 718-3219 | |
| (605) 718-3412 |
| Full Name | Medical Associates Of The Black Hillc, Llc. |
|---|---|
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 640 Flormann St Ste 100, Rapid City, South Dakota |
| Authorized Official Name and Position | Melinda Beth Jones (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 6051783219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of The Black Hillc, Llc. 640 Flormann St Ste 100 Rapid City SD 57701-4695 Ph: (605) 718-3219 | Medical Associates Of The Black Hillc, Llc. 640 Flormann St Ste 100 Rapid City SD 57701-4695 Ph: (605) 718-3219 |
| NPI Number | 1871638072 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871638072 | NPI | - | NPPES |
| 0008618 | Other | SD | BCBS OF SD GROUP# |
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