Provider Demographics
NPI:1386979979
Name:REGIONAL HEALTH PHYSICIANS INC
Entity type:Organization
Organization Name:REGIONAL HEALTH PHYSICIANS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-RHP
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-716-8394
Mailing Address - Street 1:1420 NORTH 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-1532
Mailing Address - Country:US
Mailing Address - Phone:605-716-8394
Mailing Address - Fax:
Practice Address - Street 1:1010 BALLPARK ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-2209
Practice Address - Country:US
Practice Address - Phone:605-720-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH PHYSICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty