Organization
RAPID CITY REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SUGHRUE (CEO)
(605) 719-8162
Entity
Organization
Contact information
Practice address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 719-4060
Mailing address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 719-4060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004524
BC&BS GROUP NUMBER
SD
Enumeration date
04/18/2007
Last updated
05/19/2010
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