Rapid City Indian Health Service Hospital

LBN: Rapid City Indian Health Service Hospital
Rapid City Indian Health Service Hospital is an health care organization with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Rapid City Indian Health Service Hospital can be contacted via phone (605) 355-2500, or through Clark, Leroy via phone (605) 355-2423.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2500
Fax: (605) 355-2517
Website:
Map and Directions
Authorized official contact:
Name: Clark, Leroy Doctor of Medicine (MD)
Phone: (605) 355-2423

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1316900327
LBN Legal business name Rapid City Indian Health Service Hospital
DBA Doing business as
Authorized official Clark, Leroy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 29th, 2010 - about 14 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 1316900327 NPPES
South Dakota MEDICAID 0140070
South Dakota MEDICAID 5549050

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