Advanced Dermatology Center, Pc

LBN: Advanced Dermatology Center, Pc
Advanced Dermatology Center, Pc is an health care organization with primary practice located at 710 Saint Anne Street , Rapid City SD 57701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Center, Pc can be contacted via phone (605) 343-8000, or through Boddicker, Sheila Oday via phone (605) 343-8000.

Contact Information

Primary practice address
710 Saint Anne Street Rapid City SD 57701
Phone: (605) 343-8000
Fax: (605) 343-8262
Website:
Map and Directions
Authorized official contact:
Name: Boddicker, Sheila Oday
Phone: (605) 343-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0329 South Dakota

Profile Details

NPI number 1346389178
LBN Legal business name Advanced Dermatology Center, Pc
DBA Doing business as
Authorized official Boddicker, Sheila Oday
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 13th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346389178 NPPES
South Carolina Other 0006246 BLUE CROSS

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