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Contact Information

JACOB L HEMENWAY, PAC
7220 MOUNT RUSHMORE RD
RAPID CITY, SD57702-8754
 Phone: 605-341-1414
 Fax: 605-341-7062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACOB L HEMENWAY · (Male)

NPI # 1982123725
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/13/2017
Last updated 07/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • BLACK HILLS SURGICAL HOSPITAL LLP - (Acute Care)
    216 ANAMARIA DR
    RAPID CITY, SD 57703
  • MERCY MEDICAL CENTER - (Critical Access)
    1301 15TH AVE W
    WILLISTON, ND 58801
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
  • SIDNEY HEALTH CENTER - (Critical Access)
    216 14TH AVE SW
    SIDNEY, MT 59270
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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