Founders Park Clinic, Pllc

LBN: Founders Park Clinic, Pllc
Founders Park Clinic, Pllc is an health care organization with primary practice located at 211 Founders Park Dr Suite 3, Rapid City SD 57701-8098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Founders Park Clinic, Pllc can be contacted via phone (605) 791-5959, or through Spahn, Martin S via phone (605) 791-5959.

Contact Information

Primary practice address
211 Founders Park Dr Suite 3 Rapid City SD 57701-8098
Phone: (605) 791-5959
Fax: (605) 791-5960
Website:
Map and Directions
Authorized official contact:
Name: Spahn, Martin S Doctor of Medicine (MD)
Phone: (605) 791-5959

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X LLC ID# DL020085 South Dakota

Profile Details

NPI number 1386927465
LBN Legal business name Founders Park Clinic, Pllc
DBA Doing business as
Authorized official Spahn, Martin S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2011
Last updated Sep 24th, 2011 - about 15 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 1386927465 NPPES
South Dakota MEDICAID 6702250

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