Healthcare Provider Details

I. General information

NPI: 1841331741
Provider Name (Legal Business Name): REGIONAL HEALTH PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDGEMONT REGIONAL MEDICAL CLINIC 908 H STREET
EDGEMONT SD
57735
US

IV. Provider business mailing address

EDGEMONT REGIONAL MEDICAL CLINIC 908 H STREET
EDGEMONT SD
57735
US

V. Phone/Fax

Practice location:
  • Phone: 605-662-7250
  • Fax:
Mailing address:
  • Phone: 605-662-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD GIESEL
Title or Position: CEO-RHN
Credential:
Phone: 605-892-2701