NPI 1063420354

Black Hills Health & Education Center

Organisation Pediatrics Physician Hermosa, SD

Practice location

Address: 13815 Battle Creek Rd, Hermosa, SD 57744-0019
Phone: (605) 255-4101
Mailing address: PO Box 19 13815 Battle Creek Rd, Hermosa, SD 57744-0019

Authorised official

Name: Cheryl Reth
Title: Assistant Director
Phone: (605) 255-4101

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 5809 (SD)

Other Pediatrics providers in South Dakota →

Registry record

NPI: 1063420354
Entity type: Organization
NPI issued: 3 Aug 2006
Record last updated: 7 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.