Healthcare Provider Details
I. General information
NPI: 1497882534
Provider Name (Legal Business Name): RAPIDCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
408 KNOLLWOOD DR
RAPID CITY SD
57701-0600
US
IV. Provider business mailing address
408 KNOLLWOOD DR
RAPID CITY SD
57701-0600
US
V. Phone/Fax
- Phone: 605-341-6600
- Fax: 605-341-7899
- Phone: 605-341-6600
- Fax: 605-341-7899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | 0228 |
| License Number State | SD |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
ROBERT
CHARLES
PRESTON
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 605-341-6600