Organization · NPI-2

.Indian Health Service

Clinic/Center, Dental · Rapid City, SD

NPI number1578913232
StatusActive
Last updated in NPPESJun 14, 2016

Details

NPI
1578913232
Entity type
Organization (NPI-2)
Legal business name
.Indian Health Service
Organization subpart
No
Enumeration date
Jun 14, 2016
Last updated
Jun 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental580SDYes

Practice location

241 East Meade St
Rapid City, SD 57701

Phone 605-341-6325

Mailing address

241 E Meade St
Rapid City, SD 57701-5657

Authorized official

Claudia Von Hendricks
Dental Chief
6053552260

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