Healthcare Provider Details

I. General information

NPI: 1780621045
Provider Name (Legal Business Name): RAPID CITY EMERGENCY SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 FAIRMONT BLVD
RAPID CITY SD
57701-7375
US

IV. Provider business mailing address

PO BOX 3037
INDIANAPOLIS IN
46206-3037
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-8222
  • Fax: 605-719-4203
Mailing address:
  • Phone: 866-765-0909
  • Fax: 855-856-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY LAWS
Title or Position: RCES MEDICAL OPERATIONAL MANAGER
Credential:
Phone: 605-755-5404