Creekside Medical Clinic, Prof. Llc

LBN: Creekside Medical Clinic, Prof. Llc
Creekside Medical Clinic, Prof. Llc is an health care organization with primary practice located at 2620 Jackson Blvd Suite C, Rapid City SD 57702-1502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Creekside Medical Clinic, Prof. Llc can be contacted via phone (605) 341-1208, or through Babbitt, Nancy E via phone (605) 341-1208.

Contact Information

Primary practice address
2620 Jackson Blvd Suite C Rapid City SD 57702-1502
Phone: (605) 341-1208
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Babbitt, Nancy E Doctor of Medicine (MD)
Phone: (605) 341-1208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4583 South Dakota

Profile Details

NPI number 1902110836
LBN Legal business name Creekside Medical Clinic, Prof. Llc
DBA Doing business as
Authorized official Babbitt, Nancy E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 2010 - about 16 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 1902110836 NPPES
South Dakota MEDICAID 5610718

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