Dakota Psychiatry Clinic Pc

LBN: Dakota Psychiatry Clinic Pc
Dakota Psychiatry Clinic Pc is an health care organization with primary practice located at 419 Quincy Street , Rapid City SD 57701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Dakota Psychiatry Clinic Pc can be contacted via phone (605) 348-6365, or through Lord, Charles J via phone (605) 348-6365.

Contact Information

Primary practice address
419 Quincy Street Rapid City SD 57701
Phone: (605) 348-6365
Fax: (605) 348-9408
Website:
Map and Directions
Authorized official contact:
Name: Lord, Charles J Doctor of Medicine (MD)
Phone: (605) 348-6365

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X SD 2247 South Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E2684 Texas

Profile Details

NPI number 1679598320
LBN Legal business name Dakota Psychiatry Clinic Pc
DBA Doing business as
Authorized official Lord, Charles J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1679598320 NPPES
Other 4998327 BCBS
MEDICAID 7100080 BCBS

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