Provider Demographics
NPI:1619596236
Name:HEALTH CLINICS USA CORP
Entity Type:Organization
Organization Name:HEALTH CLINICS USA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:053-908-9816
Mailing Address - Street 1:1122 JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-4335
Mailing Address - Country:US
Mailing Address - Phone:605-388-0406
Mailing Address - Fax:605-718-1211
Practice Address - Street 1:1122 JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-4335
Practice Address - Country:US
Practice Address - Phone:605-388-0406
Practice Address - Fax:605-718-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology