# REGIONAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lead-Deadwood Regional Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720025190
- **Authorized official:** TRACI MATTHEW (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (605) 717-6431

## Contact information

- **Practice address:** 71 CHARLES ST, DEADWOOD, SD 57732-1303
- **Practice address phone:** (605) 717-6431
- **Practice address fax:** (605) 719-6470
- **Mailing address:** 71 CHARLES ST, DEADWOOD, SD 57732-1303
- **Mailing address phone:** (605) 717-6431
- **Mailing address fax:** (605) 719-6470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 42-005-460372453E | SD | Yes |
| 291U00000X | Clinical Medical Laboratory | — | SD | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 12/26/2007