Healthcare Provider Details

I. General information

NPI: 1700090560
Provider Name (Legal Business Name): REGIONAL HEALTH PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 EAST THIRD STREET
NEWELL SD
57760-0468
US

IV. Provider business mailing address

1445 NORTH AVENUE
SPEARFISH SD
57783-1552
US

V. Phone/Fax

Practice location:
  • Phone: 605-456-2462
  • Fax: 605-456-1001
Mailing address:
  • Phone: 605-644-4170
  • Fax: 605-644-4198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN Y PIERCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 605-719-8394