Organization
MEDICAL ASSOCIATES OF THE BLACK HILLC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELINDA BETH JONES (MEDICAL BILLING SPECIALIST)
(605) 178-3219
Entity
Organization
Contact information
Practice address
640 FLORMANN ST STE 100, RAPID CITY, SD 57701-4695
(605) 718-3219
(605) 718-3412
Mailing address
640 FLORMANN ST STE 100, RAPID CITY, SD 57701-4695
(605) 718-3219
(605) 718-3412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1382
SD
207R00000X
Internal Medicine Physician
2150
SD
207R00000X
Internal Medicine Physician
3963
SD
207R00000X
Internal Medicine Physician
5432
SD
208000000X
Pediatrics Physician
4739
SD
208000000X
Pediatrics Physician
5507
SD
208600000X
Surgery Physician
2113
SD
208600000X
Surgery Physician
3563
SD
208600000X
Surgery Physician
4023
SD
363LP0200X
Pediatric Nurse Practitioner
Primary
CP000457
SD
363LP0200X
Pediatric Nurse Practitioner
R024930
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008618
BCBS OF SD GROUP#
SD
Enumeration date
02/21/2007
Last updated
09/11/2025
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