WALL HEALTH SERVICES, INC. (NPI# 1063494789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063494789 |
| Entity Type | Organization |
| Organization Name | WALL HEALTH SERVICES, INC. |
| Other Organization Name | WALL CLINIC |
| Practice Address |
112 7th Ave Wall SD 57790-0423 |
| Mailing Address |
Po Box 423 Wall SD 57790-0423 |
| Practice Telephone | 6052792149 |
| Practice Fax Number | 6052792139 |
| Mailing Telephone | 6052792149 |
| Mailing Fax Number | 6052792139 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | MRS. ESTER JOHANNESEN (CLINIC COORDINATOR) |
| Authorized Official Telephone | 6052792149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BCBS # FOR WALL CLINIC | 4999946 | 01 |
| SD | 5300040 | 05 |
| Other Name | Type Code |
|---|---|
| Wall Clinic | Other Name - Individual/Organization |
| Street Address |
112 7TH AVE |
| City | WALL |
| State | SD |
| Zip Code | 57790-0423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477516540 | David K. Custis | Physician Assistant | 112 7th Ave, Wall, SD 57790-0423 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 1508340563 | Badlands Physical Therapy, LLC | Physical Therapist | 910 Main St, Wall, SD 57790 | 2018-09-17 |
| 1801212402 | Regional Health Physicians, Inc. | Family Medicine | 112 7th Avenue, Wall, SD 57790 | 2014-03-07 |
| 1386903045 | Black Hills Health and Wellness Center | Chiropractor | 114 4th Ave, Wall, SD 57790 | 2012-05-15 |
| 1629457841 | Rapid City Regional Hospital Inc | Family Medicine | 112 7th Avenue, Wall, SD 57790-0000 | 2015-05-20 |
| 1467842922 | Regional Health Physicians Inc | Respite Care | 112 7th Avenue, Wall, SD 57790-0000 | 2015-02-04 |
| 1265811285 | Monument Health Rapid City Hospital, Inc. | Family Medicine | 112 7th Avenue, Wall, SD 57790-0001 | 2015-05-22 |
| 1457730673 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790-0001 | 2015-05-20 |
| 1104330620 | Rapid City Regional Hospital, Inc. | Respite Care | 112 7th Avenue, Wall, SD 57790-0010 | 2017-11-20 |
| 1821094582 | David Orla Olson | Nurse Anesthetist, Certified Registered | 118 Golf Course Rd, Wall, SD 57790-0026 | 2005-06-27 |
| Find all providers in zip 57790 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 1457730673 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790-0001 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803432 | City of Brookings | Clinic/Center | 104 1/2 West 2nd Street, Elkton, SD 57026 | 2019-07-19 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| 1609013317 | Douglas County Memorial Hospital | Clinic/Center | 310 W Sd Highway 46, Wagner, SD 57380-9304 | 2009-01-16 |
| 1750422655 | Regional Health Physicians Inc | Clinic/Center | 114 E Main Street, Hill City, SD 57745 | 2007-02-12 |
| 1326189754 | Regional Health Physicians Inc | Clinic/Center | 101 E. Third St., Newell, SD 57760 | 2007-02-09 |
| 1609931518 | Sioux Valley Clinic | Clinic/Center | 600 W Cedar Street (highway 46), Beresford, SD 57004 | 2006-12-22 |
| 1588677892 | Avera Mckennan | Clinic/Center | 305 N 2nd Ave, Revillo, SD 57259-0006 | 2006-08-15 |
| 1912916438 | Linton Hospital | Clinic/Center | 517 Ave B, Pollick, SD 57648 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WALL HEALTH SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.