Organization
RAPID CITY REGIONAL HOSPITAL INC
Active
Parent organization
RAPID CITY REGIONAL HOSPITAL INC
Other names
Regional Home Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAPID CITY REGIONAL HOSPITAL INC
Authorized official
PAUL W CLEMMENTS (VICE PRESIDENT RAPID CITY MARKET)
(605) 755-8103
Entity
Organization
Contact information
Practice address
224 ELK ST, SUITE 100, RAPID CITY, SD 57701-7359
(605) 755-1150
(605) 755-1151
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 755-7649
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
10558
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10558
RCRH LICENSE
SD
Enumeration date
10/02/2014
Last updated
03/21/2017
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