Regional Health Medical Clinic

LBN: Rapid City Regional Hospital, Inc.
Regional Health Medical Clinic is an health care organization with primary practice located at 112 7Th Avenue , Wall SD 57790-0010. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Respite Care Facility / Respite Care. Agencies / In Home Supportive Care is the primary health care specialty. Rapid City Regional Hospital, Inc. can be contacted via phone (605) 279-2149, or through Davidson, Ruta Paulette via phone (605) 755-9138.

Contact Information

Primary practice address
112 7Th Avenue Wall SD 57790-0010
Fax: (605) 279-2139
Website:
Authorized official contact:
Name: Davidson, Ruta Paulette

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1104330620
LBN Legal business name Rapid City Regional Hospital, Inc.
DBA Doing business as Regional Health Medical Clinic
Authorized official Davidson, Ruta Paulette
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 20th, 2017 - about 9 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 1104330620 NPPES
South Dakota MEDICAID 1457730673

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