Black Hills Health and Wellness Center
Organization Active NPI Chiropractor · Wall, SD
NPI 1386903045 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1386903045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BLACK HILLS HEALTH AND WELLNESS CENTER
- Practice address
- 114 4TH Ave
Wall, SD 57790 - Phone
- (605) 341-7500
- Fax
- (605) 341-7903
- NPI assigned
- May 15, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- BLACK HILLS HEALTH AND WELLNESS CENTER
Authorized official
- Name
- Tina Morford
- Title
- Billing Manager
- Phone
- (605) 341-7500
National Provider Directory
- Part of
- Black Hills HLTH Wellness
Locations
1220 Mount Rushmore Rd
Ste 1
Rapid City, SD 57701
Phone (605) 341-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
114 4TH Ave
Wall, SD 57790
Mailing address
1220 Mt Rushmore Rd Suite 1
Rapid City, SD 57701
Phone (605) 341-7500
Other names
- Black Hills Health and Wellness Center of Wall
Other providers in Wall, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.