Healthcare Provider Details

I. General information

NPI: 1053388793
Provider Name (Legal Business Name): RAPID CITY REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 ELK STREET
RAPID CITY SD
57701-7359
US

IV. Provider business mailing address

PO BOX 3450
RAPID CITY SD
57709-3450
US

V. Phone/Fax

Practice location:
  • Phone: 605-719-1000
  • Fax: 605-719-4499
Mailing address:
  • Phone: 605-719-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number10558
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY H SUGHRUE
Title or Position: CEO-RCRH EXECUTIVE MANAGEMENT
Credential:
Phone: 605-719-8162