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Contact Information

PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
133 TEXAS ST
RAPID CITY, SD57701
 Phone: 605-342-6821
 Fax: 605-341-3066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.

NPI # 1982817045
LBN Legal business name PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
Authorized official DARYL REINICKE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 07/20/2018 - About 8 years ago
Identifiers
SD License # 10753
SD License # 11045
SD License # 68559
SD Medicaid 9571490
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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