Organization
BLACK HILLS HEALTH AND WELLNESS CENTER
Active
Parent organization
BLACK HILLS HEALTH AND WELLNESS CENTER
Other names
Black Hills Health and Wellness Center of Faith
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK HILLS HEALTH AND WELLNESS CENTER
Authorized official
TINA MORFORD (CHIROPRACTIC ASSISTANT BILLING MANA)
(605) 341-7500
Entity
Organization
Contact information
Practice address
112 N 2ND AVE W, FAITH, SD 57626-0000
(605) 341-7500
(605) 341-7500
Mailing address
1220 MT RUSHMORE RD, SUITE 1, RAPID CITY, SD 57701-8264
(605) 341-7500
(605) 341-7903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
994
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004738
BCBS
SD
Enumeration date
03/22/2012
Last updated
03/22/2012
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