DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC

MEDICARE: ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC
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 : 1346849478
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC
Provider Business Mailing Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-716-6390
Fax Number :
Provider Business Practice Location Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-716-6390
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JAY WARREN WHITE
Credential : MD
Telephone Number : 605-716-6390
Provider Enumeration Date : 10/20/2020
Last Update Date : 02/08/2021

Similar Medicare Providers

1922076553 — CAROL BUTZMAN LPCMH CCDCIII QMHP
Practice Location Address:
4940 5TH STREET , SUITE 1B
RAPID CITY, SD
57701-6026
Practice Phone: 605-418-4004
Practice Fax: 605-418-4002
1699972000 — JACK ROBERT SCHLEIFFARTH M.D.
Practice Location Address:
4940 5TH ST STE 2B
RAPID CITY, SD
57701-6026
Practice Phone: 605-791-0602
Practice Fax: 605-791-0978
1477745479 — MERRILL H HILL AUD
Practice Location Address:
4940 5TH ST STE 2B
RAPID CITY, SD
57701-6026
Practice Phone: 605-415-0038
Practice Fax: 605-716-6391
1861973760 — WEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.
Practice Location Address:
4940 5TH ST STE 2B
RAPID CITY, SD
57701-6026
Practice Phone: 605-791-0602
Practice Fax: 605-791-0978
1154913622 — BLACK HILLS ADVANCED HEARING LLC
Practice Location Address:
4940 5TH ST STE 2B
RAPID CITY, SD
57701-6026
Practice Phone: 605-388-5781
Practice Fax: 605-716-6390
1013654003 — ADVANCED HEARING SOLUTIONS, LLC
Practice Location Address:
4940 5TH ST STE 2B
RAPID CITY, SD
57701-6026
Practice Phone: 605-415-0038
Practice Fax:

Directions to “ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC ” 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.