| Monument Health Family Health Residency Clinic | |
|
502 E Monroe St Rapid City SD 57701-1400 | |
| (605) 755-4060 | |
| (605) 755-4012 |
| Full Name | Monument Health Family Health Residency Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 502 E Monroe St, Rapid City, South Dakota |
| Authorized Official Name and Position | John Pierce (MONUMENT HEALTH PRESIDENT) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monument Health Family Health Residency Clinic Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 719-4060 | Monument Health Family Health Residency Clinic 502 E Monroe St Rapid City SD 57701-1400 Ph: (605) 755-4060 |
| NPI Number | 1386022960 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386022960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Dakota) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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