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MEDICAL ASSOCIATES OF THE BLACK HILLC LLC. NPI 1871638072


NPI Information

NPI: 1871638072
Provider Name: MEDICAL ASSOCIATES OF THE BLACK HILLC, LLC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
640 FLORMANN ST STE 100
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-3219
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MEDICAL ASSOCIATES OF THE BLACK HILLC, LLC. 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. MEDICAL ASSOCIATES OF THE BLACK HILLC, LLC. NPI is 1871638072. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

640 FLORMANN ST STE 100
RAPID CITY, SD
ZIP 57701-695
Phone: (605) 718-3219
Fax: (605) 718-3412

The provider's authorized official is Melinda Beth Jones .
The authorized official title is Medical Billing Specialist and has the following contact phone number (605) 178-3219.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.


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
1207R00000XInternal Medicine3963SOUTH DAKOTAYes
2207R00000XInternal Medicine1382SOUTH DAKOTAX
3207R00000XInternal Medicine2150SOUTH DAKOTAX
4207R00000XInternal Medicine5432SOUTH DAKOTAX
5208000000XPediatrics4739SOUTH DAKOTAX
6208000000XPediatrics5507SOUTH DAKOTAX
7208600000XSurgery3563SOUTH DAKOTAX
8208600000XSurgery4023SOUTH DAKOTAX
9208600000XSurgery2113SOUTH DAKOTAX
10363LP0200XNurse PractitionerPediatricsR024930SOUTH DAKOTAX
11363LP0200XNurse PractitionerPediatricsCP000457SOUTH DAKOTAX

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
10008618OTHERSOUTH DAKOTABCBS OF SD GROUP#

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

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