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RENE HALL MLT NPI 1790220119


NPI Information

NPI: 1790220119
Provider Name: RENE HALL, MLT
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (605) 355-2229
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Rene Hall, MLT is a specialist technologist other in Rapid City, SD. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Rene Hall, MLT NPI is 1790220119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-114
Phone: (605) 355-2229
Fax: (605) 355-2514

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.


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
1246Z00000XSpecialist/Technologist, Other37789Yes

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
10140070MEDICAIDSOUTH DAKOTA
2430082MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
3PHS000MEDICARE UPINSOUTH DAKOTA
45549050OTHERSOUTH DAKOTAMEDICAID
5HSZ050MEDICARE PINSOUTH 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: 4/28/2024

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.