Healthcare Provider Details

I. General information

NPI: 1881996643
Provider Name (Legal Business Name): REGIONAL WEST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2822 JACKSON BLVD SUITE 102
RAPID CITY SD
57702-3497
US

IV. Provider business mailing address

4021 AVENUE B
SCOTTSBLUFF NE
69361-4602
US

V. Phone/Fax

Practice location:
  • Phone: 605-341-4920
  • Fax: 605-341-4921
Mailing address:
  • Phone: 308-630-1111
  • Fax: 308-630-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. NED P RESCH
Title or Position: CEO
Credential:
Phone: 308-635-3711