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Organization
BLACK HILLS HEALTH AND WELLNESS CENTER OF RAPID CI
Active
Organization
BLACK HILLS HEALTH AND WELLNESS CENTER OF RAPID CI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSH G BIBERDORF DC (GENERAL PARTNER)
(605) 341-7500
Entity
Organization
Contact information
Practice address
1220 MT RUSHMORE RD, STE 1, RAPID CITY, SD 57701
(605) 341-7500
(605) 341-7903
Mailing address
1220 MT RUSHMORE RD, STE 1, RAPID CITY, SD 57701
(605) 341-7500
(605) 341-7903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004738
BLUE CROSS BLUE SHIELD
SD
Enumeration date
12/01/2006
Last updated
04/25/2012
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