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NPI Code Detail

MEDICARE: BEHAVIOR MANAGEMENT SYSTEMS, INC.

MEDICARE: BEHAVIOR MANAGEMENT SYSTEMS, 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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30069984OTHERSDBLUE CROSS/BLUE SHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
50000165OTHERSDBLUE CROSS/BLUE SHIELD
60069988OTHERSDBLUE CROSS/BLUE SHIELD
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295878122
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR MANAGEMENT SYSTEMS, INC.
Provider Business Mailing Address
First Line : 350 ELK ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7351
Country : US
Telephone Number : 605-343-7262
Fax Number : 605-343-7293
Provider Business Practice Location Address
First Line : 350 ELK ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7351
Country : US
Telephone Number : 605-343-7262
Fax Number : 605-343-7293
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : LINDA REIDT KILBER
Credential :
Telephone Number : 605-343-7262
Provider Enumeration Date : 02/14/2007
Last Update Date : 01/29/2008

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1053536102 — RUTH HEISER
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Directions to “BEHAVIOR MANAGEMENT SYSTEMS, INC. ” Practice Location

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