Rushmore Clinic, P.C. in Rapid City - Physician Assistant
Rushmore Clinic, P.C. - NPI 1124184510
Rushmore Clinic, P.C. is a Physician Assistant in Rapid City, South Dakota. Rushmore Clinic, P.C. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rushmore Clinic, P.C. is 1124184510. The last update date is 2008-04-20.
Rushmore Clinic, P.C.'s current location address is 101 E Minnesota St, Rapid City, South Dakota. You can contact this provider via phone number 6057187450 and fax number 6057187465. The mailing address for Rushmore Clinic, P.C. is 101 E Minnesota St, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rushmore Clinic, P.C. |
|---|---|
| Address | 101 E Minnesota St, Rapid City, South Dakota |
| Phone Number | 6057187450 |
| Fax Number | 6057187465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Krause L Vicky |
| Telephone Number | 6057187450 |
NPI Number Detail
| NPI Number | 1124184510 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 101 E Minnesota St |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577017756 |
| Phone Number | 6057187450 |
| Fax Number | 6057187465 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 348 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3522835001 | OWCP | ||
| 40192 | SD | SECURE HORIZONS | |
| 2944830 | WY | WY WORKERS SAFETY | |
| 40192 | SD | BLUE CROSS BLUE SHIELD | |
| 10025296700 | NE | -- | |
| 9202253 | SD | CAREWEST | |
| 9202253 | SD | DAKOTACARE |
Post Comment/ Review Below
What is the Rushmore Clinic, P.C.'s 1124184510?
The Rushmore Clinic, P.C.'s NPI (National Provider Identifier) Number is 1124184510. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rushmore Clinic, P.C.'s physical address?
The Rushmore Clinic, P.C. is physically located at 101 E Minnesota St, in the city of Rapid City, SD, with the postal code 577017756.
What is Rushmore Clinic, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rushmore Clinic, P.C. is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Rushmore Clinic, P.C. receive its 1124184510 assignment from the Centers for Medicare & Medicaid Services?
The Rushmore Clinic, P.C. was assigned its 1124184510 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information regarding Rushmore Clinic, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rushmore Clinic, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.