NPIMap

Organization Active NPI

Rapid City Regional Hospital, Inc.

Doing business as Regional Health Medical Clinic

  • In Home Supportive Care Agency
  • Wall, SD
National Provider Identifier
1104330620
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RAPID CITY REGIONAL HOSPITAL, INC.
Doing business as
Regional Health Medical Clinic
Practice address
112 7TH Avenue
Wall, SD 57790-0010
Phone
(605) 279-2149
Fax
(605) 279-2139
NPI assigned
Nov 20, 2017
Last updated
Nov 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Ruta Paulette Davidson
Title
Coo & President Rapid City Market
Phone
(605) 755-9138

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

112 7TH Avenue
Wall, SD 57790-0010

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 279-2149

Other identifiers 1

IdentifierTypeStateIssuer
1457730673MedicaidSD

Other names 1

  • Regional Health Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regional Health60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1104330620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860013",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860013",
            "telephone_number": "605-279-2149",
            "fax_number": "605-279-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 7TH AVENUE",
            "city": "WALL",
            "state": "SD",
            "postal_code": "577900010",
            "telephone_number": "605-279-2149",
            "fax_number": "605-279-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CITY REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RUTA",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "COO & PRESIDENT RAPID CITY MARKET",
        "authorized_official_telephone_number": "605-755-9138"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457730673",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Health 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 Nov 20, 2017; 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.