Rapid City IHS Hospital

Organization Active NPI General Acute Care Hospital · Rapid City, SD

NPI 1790748226 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790748226
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
1265 (SD)
Legal business name
RAPID CITY IHS HOSPITAL
Practice address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone
(605) 355-2282
Fax
(305) 355-2504
NPI assigned
Apr 7, 2006
Organization subpart
No

Authorized official

Name
Ms. Jolene Black Lance, MSW/LCSW
Title
Medical Social Worker
Phone
(605) 355-2282

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rapid City IHS Hospital (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1265 SD Yes

Addresses

Primary practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Mailing address

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2282

Other identifiers

IdentifierTypeStateIssuer
5549050MedicaidSD

Other providers in Rapid City, SD

All providers in Rapid City, SD · General Acute Care Hospital in South Dakota

Sources for this page

Verify at the official NPI Registry.