Rushmore Clinic, P.C.

LBN: Rushmore Clinic, P.C.
Rushmore Clinic, P.C. is an health care organization with primary practice located at 101 E Minnesota St Suite 260, Rapid City SD 57701-7756. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Rushmore Clinic, P.C. can be contacted via phone (605) 718-7450, or through Krause, Vicky L via phone (605) 718-7450.

Contact Information

Primary practice address
101 E Minnesota St Suite 260 Rapid City SD 57701-7756
Phone: (605) 718-7450
Fax: (605) 718-7465
Website:
Map and Directions
Authorized official contact:
Name: Krause, Vicky L
Phone: (605) 718-7450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1584 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0348 South Dakota

Profile Details

NPI number 1124184510
LBN Legal business name Rushmore Clinic, P.C.
DBA Doing business as
Authorized official Krause, Vicky L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Apr 20th, 2008 - about 17 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 1124184510 NPPES
Other 3522835001 OWCP
Other 40192 OWCP
Other 2944830 OWCP
Other 0040192 OWCP
MEDICAID 10025296700 OWCP
Other 9202253 OWCP
Other 9202253 OWCP

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