| Organization Name: | RAPID CITY MEDICAL CENTER, LLP |
| NPI Number: | 1427053545 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARREL RIDDLE (ADMINISTRATOR) |
| Mailing Address: | 2820 Mount Rushmore Rd Rapid City |
| State: | SD US |
| Postal Code: | 577015462 |
| Phone Number: | 6053423280 |
| Fax Number: | 6057218458 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |