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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