Dr.Jackiegilbertsonllc

LBN: Dr.Jackiegilbertsonllc
Dr.Jackiegilbertsonllc is an health care organization with primary practice located at 623 Quincy St 102, Rapid City SD 57701-8231. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Dr.Jackiegilbertsonllc can be contacted via phone (605) 430-6364, or through Gilbertson, Jackie R via phone (605) 430-6364.

Contact Information

Primary practice address
623 Quincy St 102 Rapid City SD 57701-8231
Phone: (605) 430-6364
Fax: (605) 716-9491
Website:
Map and Directions
Authorized official contact:
Name: Gilbertson, Jackie R ED.D
Phone: (605) 430-6364

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 276 South Dakota

Profile Details

NPI number 1124383435
LBN Legal business name Dr.Jackiegilbertsonllc
DBA Doing business as
Authorized official Gilbertson, Jackie R ED.D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2012
Last updated Jul 12th, 2012 - about 12 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 1124383435 NPPES
South Dakota MEDICAID 6551113

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