West River Dermatology, Pc

LBN: West River Dermatology, Pc
West River Dermatology, Pc is an health care organization with primary practice located at 717 Meade St Suite 100, Rapid City SD 57701-5100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. West River Dermatology, Pc can be contacted via phone (605) 341-5910, or through Knutsen, Roger S via phone (605) 341-5910.

Contact Information

Primary practice address
717 Meade St Suite 100 Rapid City SD 57701-5100
Phone: (605) 341-5910
Fax: (605) 341-9052
Website:
Map and Directions
Authorized official contact:
Name: Knutsen, Roger S Doctor of Medicine (MD)
Phone: (605) 341-5910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 0266 South Dakota

Profile Details

NPI number 1013010974
LBN Legal business name West River Dermatology, Pc
DBA Doing business as
Authorized official Knutsen, Roger S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Mar 11th, 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 1013010974 NPPES
South Dakota Other 0003099 BLUE CROSS BLUE SHIELD

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