| Black Hills Psychiatry Associates | |
|
528 Quincy St Rapid City SD 57701-3628 | |
| (605) 348-5401 | |
| (605) 348-7319 |
| Full Name | Black Hills Psychiatry Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 528 Quincy St, Rapid City, South Dakota |
| Authorized Official Name and Position | Richard Pierce Renka (PRESIDENT) |
| Authorized Official Contact | 6053485401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Psychiatry Associates 528 Quincy St P O Box 288 Rapid City SD 57701-3628 Ph: (605) 348-5401 | Black Hills Psychiatry Associates 528 Quincy St Rapid City SD 57701-3628 Ph: (605) 348-5401 |
| NPI Number | 1770660714 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/08/2007 |
| Medicare PECOS PAC ID | 4082695648 |
|---|---|
| Medicare Enrollment ID | O20040528000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770660714 | NPI | - | NPPES |
| 7100070 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0133 (South Dakota) | Primary |
| Provider Name | Richard P Renka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801882287 PECOS PAC ID: 8224222906 Enrollment ID: I20101027000861 |
Childrens Home Society Of South Dakota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Jolly Ln, Rapid City, SD 57703 Phone: 605-343-2811 Fax: 605-341-7437 | |
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