Black Hills Health and Wellness Center of Rapid Ci

A Medicare group practice based in Rapid City, SD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1850291659), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850291659The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
SD
Enrollments
1
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040109000258 SD Part B Supplier - Clinic/Group Practice 1164590758

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page