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NPI Code Detail

MEDICARE: REGIONAL HEALTH PHYSICIANS INC

MEDICARE: REGIONAL HEALTH PHYSICIANS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1114072543
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL HEALTH PHYSICIANS INC
Provider Business Mailing Address
First Line : 1445 NORTH AVENUE
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1552
Country : US
Telephone Number : 605-644-4170
Fax Number : 605-644-4198
Provider Business Practice Location Address
First Line : 1445 NORTH AVENUE
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1552
Country : US
Telephone Number : 605-644-4170
Fax Number : 605-644-4198
Authorized Official
Title or Position : EXEC DIRECTOR
Name : JOHN Y PIERCE
Credential :
Telephone Number : 605-719-8706
Provider Enumeration Date : 01/24/2007
Last Update Date : 04/20/2009

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Directions to “REGIONAL HEALTH PHYSICIANS INC ” Practice Location

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