| Rushmore Clinic, P.c. | |
|
101 E Minnesota St Suite 260 Rapid City SD 57701-7756 | |
| (605) 718-7450 | |
| (605) 718-7465 |
| Full Name | Rushmore Clinic, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Minnesota St, Rapid City, South Dakota |
| Authorized Official Name and Position | Vicky L Krause (CLINIC MANAGER) |
| Authorized Official Contact | 6057187450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rushmore Clinic, P.c. 101 E Minnesota St Suite 260 Rapid City SD 57701-7756 Ph: (605) 718-7450 | Rushmore Clinic, P.c. 101 E Minnesota St Suite 260 Rapid City SD 57701-7756 Ph: (605) 718-7450 |
| NPI Number | 1124184510 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124184510 | NPI | - | NPPES |
| 3522835001 | Other | OWCP | |
| 40192 | Other | SD | SECURE HORIZONS |
| 2944830 | Other | WY | WY WORKERS SAFETY |
| 0040192 | Other | SD | BLUE CROSS BLUE SHIELD |
| 10025296700 | Medicaid | NE | |
| 9202253 | Other | SD | CAREWEST |
| 9202253 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1584 (South Dakota) | Primary |
| 363A00000X | Physician Assistant | 0348 (South Dakota) | Secondary |
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