Local City Search for Surgeons and Surgical Clinics PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
Surgery Yellow Pages
Rapid City, South Dakota
Provider NPI: 1760465207
Organization Information:Organization Name: PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
Practice Location:
3615 5TH ST SUITE 100 RAPID CITY, SD 57701 US
Tel: 605-343-6714 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3615 5TH ST SUITE 100 RAPID CITY, SD 57701 US
Tel: 605-343-6714 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | SD | 11152 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| WELLMARK BCBS # | 81014 | SD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
