Healthcare Provider Details

I. General information

NPI: 1447295423
Provider Name (Legal Business Name): REGIONAL HEALTH PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 H STREET
EDGEMONT SD
57735-0687
US

IV. Provider business mailing address

PO BOX 3450
RAPID CITY SD
57709-3450
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 Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN Y PIERCE
Title or Position: EXECUTIVE DIRECTOR RHP
Credential:
Phone: 605-716-8394