Organization
VA BLACK HILLS HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCEL CLAUDE LACOSTE M.D. (PSYCHIATRIST)
(605) 720-7068
Entity
Organization
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7068
(605) 347-7204
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7068
(605) 347-7204
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
15800
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15800
MEDICAL DOCTOR
PR
Enumeration date
11/16/2006
Last updated
08/22/2020
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