Healthcare Provider Details

I. General information

NPI: 1326189754
Provider Name (Legal Business Name): REGIONAL HEALTH PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E. THIRD ST.
NEWELL SD
57760
US

IV. Provider business mailing address

2200 13TH AVE
BELLE FOURCHE SD
57717-2215
US

V. Phone/Fax

Practice location:
  • Phone: 605-456-2462
  • Fax:
Mailing address:
  • Phone: 605-456-2462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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