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INTERNAL MEDICINE AND GERIATRICS ASSOCIATES LLP NPI 1417012170


NPI Information

NPI: 1417012170
Provider Name: INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, LLP
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
909 SAINT JOSEPH ST
SUITE B100
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-4380
Get Directions

INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, LLP is a geriatric medicine internal medicine in Rapid City, SD. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. INTERNAL MEDICINE AND GERIATRICS ASSOCIATES, LLP NPI is 1417012170. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

909 SAINT JOSEPH ST
SUITE B100
RAPID CITY, SD
ZIP 57701-414
Phone: (605) 718-4380
Fax: (605) 718-4396

The provider's authorized official is Priscilla F Bade .
The authorized official title is Partner and has the following contact phone number (605) 718-4380.

The enumeration date for this NPI number is 12/23/2006 and was last updated on 2/12/2010.


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
1207RG0300XInternal MedicineGeriatric Medicine2417SOUTH DAKOTANo
2207RG0300XInternal MedicineGeriatric Medicine3651SOUTH 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
16000642MEDICAIDSOUTH DAKOTA
2F92926MEDICARE UPINSOUTH DAKOTA
36000262MEDICAIDSOUTH DAKOTA
440054MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTAMEDICARE GROUP #
5D25588MEDICARE UPINSOUTH DAKOTA

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

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