Organization Active NPI

Regional Health Physicians, Inc.

Doing business as Wall Regional Medical Clinic

  • Rural Health Clinic/Center
  • Wall, SD
National Provider Identifier
1003230541
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
REGIONAL HEALTH PHYSICIANS, INC.
Doing business as
Wall Regional Medical Clinic
Practice address
112 7TH Avenue
Wall, SD 57790
Phone
(605) 279-2149
Fax
(605) 279-2139
NPI assigned
Feb 4, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Y Pierce
Title
Ceo
Phone
(605) 755-9042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

112 7TH Avenue
Wall, SD 57790

Mailing address

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-9142

Other names 1

  • Wall Regional Medical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1003230541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-9142",
            "fax_number": "605-755-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 7TH AVENUE",
            "city": "WALL",
            "state": "SD",
            "postal_code": "57790",
            "telephone_number": "605-279-2149",
            "fax_number": "605-279-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH, INC.",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-755-9042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Regional Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.