Community Health Center Of The Black Hills Inc in Rapid City - Federally Qualified Health Center (fqhc)

Community Health Center Of The Black Hills Inc - NPI 1669508677

Community Health Center Of The Black Hills Inc is a Federally Qualified Health Center (fqhc) in Rapid City, South Dakota. Community Health Center Of The Black Hills Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Center Of The Black Hills Inc is 1669508677. The last update date is 2015-12-15.

Community Health Center Of The Black Hills Inc's current location address is 350 Pine St, Rapid City, South Dakota. You can contact this provider via phone number 6057218939 and fax number 6057218853. The mailing address for Community Health Center Of The Black Hills Inc is 350 Pine St, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Health Center Of The Black Hills Inc
Address 350 Pine St, Rapid City, South Dakota
Phone Number 6057218939
Fax Number 6057218853
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Trihart Timothy
Telephone Number 6057218939

NPI Number Detail

NPI Number 1669508677
Provider Enumeration Date 2007-02-26
Last Updated Date 2015-12-15

Provider Mailing Address Detail

Address 350 Pine St
City Rapid City
State South Dakota (SD)
Post Code 577011669
Phone Number 6057218939
Fax Number 6057218853

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5350060 SD --
SD04129S3001 SD MEDICARE PART B
SD04129S3000 SD MEDICARE PART B

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FAQs about Community Health Center Of The Black Hills Inc

What is the unique identifier code issued to Community Health Center Of The Black Hills Inc by the Centers for Medicare & Medicaid Services?

The Community Health Center Of The Black Hills Inc has been assigned the NPI (National Provider Identifier) 1669508677. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Community Health Center Of The Black Hills Inc is physically located?

The Community Health Center Of The Black Hills Inc is physically situated at the following address: 350 Pine St, Rapid City, SD, 577011669.

What is Community Health Center Of The Black Hills Inc's area of expertise and its corresponding taxonomy classification?

The Community Health Center Of The Black Hills Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Community Health Center Of The Black Hills Inc receive the assignment of its 1669508677 from the Centers for Medicare & Medicaid Services?

The Community Health Center Of The Black Hills Inc was issued its 1669508677 by the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date was the information pertaining to Community Health Center Of The Black Hills Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Community Health Center Of The Black Hills Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-15.

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