| Queen City Regional Medical Clinic And Sprmc Dermatology | |
|
550 East Colorado Blvd Spearfish SD 57783-2776 | |
| (605) 717-8860 | |
| (605) 717-8861 |
| Full Name | Queen City Regional Medical Clinic And Sprmc Dermatology |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 550 East Colorado Blvd, Spearfish, South Dakota |
| Authorized Official Name and Position | Christie Nelson (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 6057197109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen City Regional Medical Clinic And Sprmc Dermatology 353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 Ph: (605) 719-7109 | Queen City Regional Medical Clinic And Sprmc Dermatology 550 East Colorado Blvd Spearfish SD 57783-2776 Ph: (605) 717-8860 |
| NPI Number | 1629253588 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629253588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Monument Health Belle Fourche Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-644-4247 | |
Spearfish Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 North Avenue, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 | |
Monument Health Spearfish Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main Street, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-644-4247 | |
Spearfish Regional Medical Clinic East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 | |
Spearfish Health Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-642-2030 | |
Monument Health Spearfish Clinic, North 10th Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-717-8618 | |
Monument Health Spearfish Clinic, North 10th Sreet Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-717-8618 |