Queen City Regional Medical Clinic in Spearfish - Physician Assistant
Queen City Regional Medical Clinic - NPI 1326224627
Queen City Regional Medical Clinic is a Physician Assistant in Spearfish, South Dakota. Queen City Regional Medical Clinic practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Queen City Regional Medical Clinic is 1326224627. The last update date is 2008-01-16.
Queen City Regional Medical Clinic's current location address is 1420 N 10th St, Spearfish, South Dakota. You can contact this provider via phone number 6056428414 and fax number 6056428618. The mailing address for Queen City Regional Medical Clinic is 1420 N 10th St, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Queen City Regional Medical Clinic |
|---|---|
| Address | 1420 N 10th St, Spearfish, South Dakota |
| Phone Number | 6056428414 |
| Fax Number | 6056428618 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Grout Lana |
| Telephone Number | 6056428414 |
NPI Number Detail
| NPI Number | 1326224627 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 1420 N 10th St |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577831532 |
| Phone Number | 6056428414 |
| Fax Number | 6056428618 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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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What is the unique 10-digit identifier code issued to Queen City Regional Medical Clinic by the Centers for Medicare & Medicaid Services?
The Queen City Regional Medical Clinic has been assigned the NPI (National Provider Identifier) 1326224627 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Queen City Regional Medical Clinic is located?
The Queen City Regional Medical Clinic is situated at the following address: 1420 N 10Th St, Spearfish, SD, 577831532.
What is the Queen City Regional Medical Clinic's area of specialization and corresponding taxonomy classification?
The Queen City Regional Medical Clinic's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Queen City Regional Medical Clinic receive its 1326224627 assignment?
The Queen City Regional Medical Clinic was assigned its 1326224627 on 2008-01-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Queen City Regional Medical Clinic most recently updated or revised?
The information pertaining to Queen City Regional Medical Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-16.