Organization
RAPID CITY IHS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOLENE BLACK LANCE MSW/LCSW (MEDICAL SOCIAL WORKER)
(605) 355-2282
Entity
Organization
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2282
(305) 355-2504
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2282
(305) 355-2504
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1265
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549050
—
SD
Enumeration date
04/07/2006
Last updated
08/22/2020
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