Organization · NPI-2

Bhpac-Snf PLLC

Family Medicine, Geriatric Medicine · Rapid City, SD

NPI number1770466161
StatusActive
Last updated in NPPESJul 31, 2025

Details

NPI
1770466161
Entity type
Organization (NPI-2)
Legal business name
Bhpac-Snf PLLC
Organization subpart
No
Enumeration date
Jul 31, 2025
Certification date
Jul 31, 2025
Last updated
Jul 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric Medicine––Yes

Practice location

1620 N 7th St
Rapid City, SD 57701-0511

Phone 402-340-2000

Mailing address

529 Kansas City St Ste 203
Rapid City, SD 57701-3693

Authorized official

Travis Ptacek
Owner
4023402000

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