NPI 1750013793

West River Physicians Alliance, LLC

Organisation Preferred Provider Organization Rapid City, SD

Practice location

Address: 353 Fairmont Blvd, Rapid City, SD 57701-7375
Phone: (605) 755-7649

Authorised official

Name: Bradley J Archer
Title: Chief Medical Officer, Cs Executive
Phone: (605) 755-7118

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1750013793
Entity type: Organization
NPI issued: 28 Jun 2022
Record last updated: 28 Jun 2022

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.