Mark W. Perrenoud Ph.D. Inc.

LBN: Mark W. Perrenoud Ph.D. Inc.
Mark W. Perrenoud Ph.D. Inc. is an health care organization with primary practice located at 1818 West Fulton Suite 201, Rapid City SD 57702-4347. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mark W. Perrenoud Ph.D. Inc. can be contacted via phone (605) 348-6500, or through Perrenoud, Mark William via phone (605) 348-6500.

Contact Information

Primary practice address
1818 West Fulton Suite 201 Rapid City SD 57702-4347
Phone: (605) 348-6500
Fax: (605) 341-7409
Website:
Map and Directions
Authorized official contact:
Name: Perrenoud, Mark William PHD
Phone: (605) 348-6500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 316 South Dakota

Profile Details

NPI number 1013283670
LBN Legal business name Mark W. Perrenoud Ph.D. Inc.
DBA Doing business as
Authorized official Perrenoud, Mark William PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2012
Last updated Mar 28th, 2012 - about 14 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 1013283670 NPPES
South Dakota MEDICAID 6550895

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