MEDICARE: RAPID CITY INDIAN HEALTH SERVICE HOSPITAL

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
1	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316900327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPID CITY INDIAN HEALTH SERVICE HOSPITAL

Provider Business Mailing Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	605-355-2358
Fax Number	:	605-355-2517

Provider Business Practice Location Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	605-355-2500
Fax Number	:	605-355-2517

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. LEROY CLARK
Credential	:	MD
Telephone Number	:	605-355-2423

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	07/29/2010

Similar Medicare Providers

1689711046 — LUXOTTICA OF AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-3534
Practice Fax:

1205389764 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-6000
Practice Fax:

1538603709 — LUXOTTICA RETAIL NORTH AMERICA INC.
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPARTMENT
MASON, OH
45040-8114

Practice Phone: 513-765-6623
Practice Fax:

1578566014 — LINNEA ANN PUTNAM PHARM.D.,MBA
Practice Location Address:

3200 CANYON LAKE DR
RAPID CITY, SD
57702-8114

Practice Phone: 605-355-2392
Practice Fax: 605-355-2565

1790748226 — RAPID CITY IHS HOSPITAL
Practice Location Address:

3200 CANYON LAKE DR
RAPID CITY, SD
57702-8114

Practice Phone: 605-355-2282
Practice Fax: 305-355-2504

1649233677 — MRS. GENIE MARIE ELLIS FNP
Practice Location Address:

3200 CANYON LAKE DR
RAPID CITY, SD
57702-8114

Practice Phone: 605-355-2443
Practice Fax: 650-355-2403

Directions to “RAPID CITY INDIAN HEALTH SERVICE HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.