| Pennington County Sheriff's Office | |
|
307 Saint Joseph St Rapid City SD 57701-2828 | |
| (605) 394-6116 | |
| (605) 716-6102 |
| Full Name | Pennington County Sheriff's Office |
|---|---|
| Speciality | Family Medicine |
| Location | 307 Saint Joseph St, Rapid City, South Dakota |
| Authorized Official Name and Position | Kevin Lee Thom (SHERIFF) |
| Authorized Official Contact | 6053946113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennington County Sheriff's Office 307 Saint Joseph St Rapid City SD 57701-2828 Ph: (605) 394-6116 | Pennington County Sheriff's Office 307 Saint Joseph St Rapid City SD 57701-2828 Ph: (605) 394-6116 |
| NPI Number | 1851997704 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851997704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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