| Rapid City Medical Center Llp | |
|
101 E Minnesota St Suite 210 Rapid City SD 57701-7756 | |
| (605) 342-3280 | |
| Not Available |
| Full Name | Rapid City Medical Center Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Minnesota St, Rapid City, South Dakota |
| Authorized Official Name and Position | Darrel Riddle (CEO) |
| Authorized Official Contact | 6053423280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapid City Medical Center Llp Po Box 6020 Rapid City SD 57709-6020 Ph: () - | Rapid City Medical Center Llp 101 E Minnesota St Suite 210 Rapid City SD 57701-7756 Ph: (605) 342-3280 |
| NPI Number | 1043577810 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 5890691075 |
|---|---|
| Medicare Enrollment ID | O20190607002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043577810 | NPI | - | NPPES |
| CR0392 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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