Creekside Family Practice

LBN: Craig K. Hansen
Creekside Family Practice is an health care organization with primary practice located at 2620 Jackson Blvd Suite C, Rapid City SD 57702-3478. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Craig K. Hansen can be contacted via phone (605) 341-1208, or through Hansen, Craig K via phone (605) 348-1208.

Contact Information

Primary practice address
2620 Jackson Blvd Suite C Rapid City SD 57702-3478
Phone: (605) 341-1208
Fax: (605) 341-3552
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Craig K Doctor of Medicine (MD)
Phone: (605) 348-1208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1447449079
LBN Legal business name Craig K. Hansen
DBA Doing business as Creekside Family Practice
Authorized official Hansen, Craig K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Jan 7th, 2008 - about 18 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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