Healthcare Provider Details

I. General information

NPI: 1972574069
Provider Name (Legal Business Name): RURAL MEDICAL CLINICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 E STATE ST
MARION SD
57043-2061
US

IV. Provider business mailing address

PO BOX 9
MARION SD
57043-0009
US

V. Phone/Fax

Practice location:
  • Phone: 605-648-3559
  • Fax:
Mailing address:
  • Phone: 605-648-3559
  • 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: DENNIS D RIES
Title or Position: MD
Credential: MD
Phone: 605-925-4219