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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CREEKSIDE MEDICAL CLINIC, PROF. LLC

Active Organization

CREEKSIDE MEDICAL CLINIC, PROF. LLC is a Family Medicine organization located in RAPID CITY, South Dakota. NPI 1902110836 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · RAPID CITY, SD

Registration Details

NPI Number
1902110836
Provider Type
Organization
NPI Issued
Aug 3, 2010 (16.039881218861 yrs)
Last Updated
Aug 3, 2010
License
4583 (SD)

Practice Information

Address
2620 JACKSON BLVD
SUITE C
RAPID CITY, SD, 577021502
Browse SD providers · Browse ZIP 57702
Phone
6053411208
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in RAPID CITY, SD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.