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Organization
WEST RIVER FOUNDATION
Active
Organization
WEST RIVER FOUNDATION
Active
Other names
DakotaLink
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK T. CZERNY ATP (COORDINATOR OF TECHNICAL SERVICES)
(605) 394-6742
Entity
Organization
Contact information
Practice address
1161 DEADWOOD AVE, SUITE 5, RAPID CITY, SD 57702-0333
(605) 394-6742
(695) 394-6744
Mailing address
1925 N PLAZA BLVD, RAPID CITY, SD 57702-9302
(605) 394-6742
(605) 394-6744
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
53001EST001
SD
Other
Enumeration date
02/06/2007
Last updated
07/21/2022
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