Rapid City Club For Boys, INC.
Community Health Worker in Rapid City, SD. Organization (NPI-2).
NPI number1154022697
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1154022697
- Entity type
- Organization (NPI-2)
- Legal business name
- Rapid City Club For Boys, INC.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2023
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Other names
- Club For Boys (Doing Business As)
Practice location
320 N. 4th St.Rapid City, SD 57701
Phone 605-343-3500 · Fax 605-343-3501
Mailing address
320 N. 4th St.Rapid City, SD 57701
Phone 605-343-3500 · Fax 605-343-3501
Authorized official
Douglas Herrmann
Executive Director
6053433500
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All 19 Community Health Worker providers in Rapid City · All 3,899 providers in Rapid City
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