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RUSHMORE CLINIC P.C. NPI 1124184510


NPI Information

NPI: 1124184510
Provider Name: RUSHMORE CLINIC, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
101 E MINNESOTA ST
SUITE 260
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-7450
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RUSHMORE CLINIC, P.C. is an internal medicine in Rapid City, SD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RUSHMORE CLINIC, P.C. NPI is 1124184510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 E MINNESOTA ST
SUITE 260
RAPID CITY, SD
ZIP 57701-756
Phone: (605) 718-7450
Fax: (605) 718-7465

The provider's authorized official is Vicky L Krause .
The authorized official title is Clinic Manager and has the following contact phone number (605) 718-7450.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant0348SOUTH DAKOTANo
2207R00000XInternal Medicine1584SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13522835001OTHEROWCP
2S40192MEDICARE PINSOUTH DAKOTA
30040192OTHERSOUTH DAKOTABLUE CROSS BLUE SHIELD
4=========OTHERTRICARE WEST REGION CLAIM
52944830OTHERWYOMINGWY WORKERS SAFETY
69202253OTHERSOUTH DAKOTADAKOTACARE
7CJ7398MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTARAILROAD MEDICARE
840192OTHERSOUTH DAKOTASECURE HORIZONS
910025296700MEDICAIDNEBRASKA
109202253OTHERSOUTH DAKOTACAREWEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.