CREEKSIDE MEDICAL CLINIC PROF. LLC NPI 1902110836

NPI Information

CREEKSIDE MEDICAL CLINIC, PROF. LLC is a family medicine in Rapid City, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CREEKSIDE MEDICAL CLINIC, PROF. LLC NPI is 1902110836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2620 JACKSON BLVD
SUITE C
RAPID CITY, SD
ZIP 57702-502
Phone: (605) 341-1208

The provider's authorized official is Nancy E Babbitt .
The authorized official title is Owner/physician and has the following contact phone number (605) 341-1208.

The CLIA number assigned to this NPI record is 43D0407998 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

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:

Other Identifiers

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