Rushmore Clinic, P.c. | |
101 E Minnesota St Suite 260 Rapid City SD 57701-7756 | |
(605) 718-7450 | |
(605) 718-7465 |
Full Name | Rushmore Clinic, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 101 E Minnesota St, Rapid City, South Dakota |
Authorized Official Name and Position | Vicky L Krause (CLINIC MANAGER) |
Authorized Official Contact | 6057187450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rushmore Clinic, P.c. 101 E Minnesota St Suite 260 Rapid City SD 57701-7756 Ph: (605) 718-7450 | Rushmore Clinic, P.c. 101 E Minnesota St Suite 260 Rapid City SD 57701-7756 Ph: (605) 718-7450 |
NPI Number | 1124184510 |
---|---|
Provider Enumeration Date | 12/29/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124184510 | NPI | - | NPPES |
3522835001 | Other | OWCP | |
40192 | Other | SD | SECURE HORIZONS |
2944830 | Other | WY | WY WORKERS SAFETY |
0040192 | Other | SD | BLUE CROSS BLUE SHIELD |
10025296700 | Medicaid | NE | |
9202253 | Other | SD | CAREWEST |
9202253 | Other | SD | DAKOTACARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1584 (South Dakota) | Primary |
363A00000X | Physician Assistant | 0348 (South Dakota) | Secondary |
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› Verified 6 days ago
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