Medical Associates Of The Black Hillc, Llc. in Rapid City - Pediatrics

Medical Associates Of The Black Hillc, Llc. - NPI 1871638072

Medical Associates Of The Black Hillc, Llc. is a Pediatrics in Rapid City, South Dakota. Medical Associates Of The Black Hillc, Llc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Medical Associates Of The Black Hillc, Llc. is 1871638072. The last update date is 2020-08-22.

Medical Associates Of The Black Hillc, Llc.'s current location address is 640 Flormann St Ste 100, Rapid City, South Dakota. You can contact this provider via phone number 6057183219 and fax number 6057183412. The mailing address for Medical Associates Of The Black Hillc, Llc. is 640 Flormann St Ste 100, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Associates Of The Black Hillc, Llc.
Address 640 Flormann St Ste 100, Rapid City, South Dakota
Phone Number 6057183219
Fax Number 6057183412
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL BI
Authorized Official Name Jones Beth Melinda
Telephone Number 6051783219

NPI Number Detail

NPI Number 1871638072
Provider Enumeration Date 2007-02-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 640 Flormann St Ste 100
City Rapid City
State South Dakota (SD)
Post Code 577014695
Phone Number 6057183219
Fax Number 6057183412

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4739
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8618 SD BCBS OF SD GROUP#

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FAQs about Medical Associates Of The Black Hillc, Llc.

What is the unique 10-digit identification code assigned to Medical Associates Of The Black Hillc, Llc. by the Centers for Medicare & Medicaid Services?

The Medical Associates Of The Black Hillc, Llc. has been issued the NPI (National Provider Identifier) 1871638072, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Medical Associates Of The Black Hillc, Llc. is located?

The Medical Associates Of The Black Hillc, Llc. is situated at the following address: 640 Flormann St Ste 100, Rapid City, SD, 577014695.

What is Medical Associates Of The Black Hillc, Llc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Medical Associates Of The Black Hillc, Llc. is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1871638072 to Medical Associates Of The Black Hillc, Llc.?

The Medical Associates Of The Black Hillc, Llc. received its 1871638072 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details related to Medical Associates Of The Black Hillc, Llc. most recently updated or revised?

The information pertaining to Medical Associates Of The Black Hillc, Llc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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