Healthcare Provider Details
I. General information
NPI: 1811179583
Provider Name (Legal Business Name): REGIONAL HEALTH PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 RAMSLAND
BUFFALO SD
57720
US
IV. Provider business mailing address
PO BOX 207
BUFFALO SD
57720-0207
US
V. Phone/Fax
- Phone: 605-375-3744
- Fax: 605-375-3745
- Phone: 605-375-3744
- Fax: 605-375-3745
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
GIESEL
Title or Position: CEO RHN
Credential:
Phone: 605-719-8706