Ballard Gynecology Prof Llc

LBN: Ballard Gynecology Prof Llc
Ballard Gynecology Prof Llc is an health care organization with primary practice located at 208 Federal Ave , Rapid City SD 57702-2326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Ballard Gynecology Prof Llc can be contacted via phone (605) 791-4442, or through Ballard, Mark C. via phone (605) 791-4442.

Contact Information

Primary practice address
208 Federal Ave Rapid City SD 57702-2326
Phone: (605) 791-4442
Fax: (605) 791-4449
Website:
Map and Directions
Authorized official contact:
Name: Ballard, Mark C. Doctor of Medicine (MD)
Phone: (605) 791-4442

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4683 South Dakota

Profile Details

NPI number 1336589936
LBN Legal business name Ballard Gynecology Prof Llc
DBA Doing business as
Authorized official Ballard, Mark C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2013
Last updated Jun 27th, 2013 - about 13 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 1336589936 NPPES
Wyoming MEDICAID 117665000
Wyoming MEDICAID 6200920
Wyoming Other 0008113

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