Diamond Family Medicine

LBN: Kenneth C Diamond Md Pc
Diamond Family Medicine is an health care organization with primary practice located at 703 Quincy Street Suite 1, Rapid City SD 57701-3669. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kenneth C Diamond Md Pc can be contacted via phone (605) 716-6656, or through Diamond, Kenneth C via phone (605) 716-6656.

Contact Information

Primary practice address
703 Quincy Street Suite 1 Rapid City SD 57701-3669
Phone: (605) 716-6656
Fax: (605) 716-6623
Website:
Map and Directions
Authorized official contact:
Name: Diamond, Kenneth C Doctor of Medicine (MD)
Phone: (605) 716-6656

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4008 South Dakota

Profile Details

NPI number 1902084619
LBN Legal business name Kenneth C Diamond Md Pc
DBA Doing business as Diamond Family Medicine
Authorized official Diamond, Kenneth C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2008
Last updated Apr 13th, 2011 - about 15 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 1902084619 NPPES
South Dakota Other 4995367 WELLMARK
South Dakota MEDICAID 5602395 WELLMARK

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