FOUNDERS PARK CLINIC, PLLC (NPI# 1386927465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386927465 |
| Entity Type | Organization |
| Organization Name | FOUNDERS PARK CLINIC, PLLC |
| Practice Address |
211 Founders Park Dr Suite 3 Rapid City SD 57701-8098 |
| Practice Telephone | 6057915959 |
| Practice Fax Number | 6057915960 |
| Mailing Telephone | 6057915959 |
| Mailing Fax Number | 6057915960 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |
| Authorized Official Name | MARTIN S SPAHN (PRESIDENT) |
| Authorized Official Telephone | 6057915959 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
LLC ID# DL020085 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6702250 | 05 |
| Street Address |
211 FOUNDERS PARK DR SUITE 3 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-8098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417993353 | Martin Stefan Spahn | Pediatrics | 211 Founders Park Dr, Suite 3, Rapid City, SD 57701-8098 | 2006-06-21 |
| 1356733042 | Eric Wilbur Dmd PC | Clinic/Center | 211 Founders Park Dr, Suite 2, Rapid City, SD 57701-8098 | 2015-03-04 |
| 1376572693 | Jean Marie Hohm | Nurse Practitioner | 211 Founders Park Dr, Suite 3, Rapid City, SD 57701-8098 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831492958 | About You Physical Therapy, Inc | Clinic/Center | 5622 Sheridan Lake Rd Ste 105, Rapid City, SD 57702-8881 | 2010-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093025 | Revitalized Wellness, Pllc | Clinic/Center | 401 E 8th St Ste 214-7054, Sioux Falls, SD 57103-7011 | 2020-08-11 |
| 1548570450 | Hubbel Chiropractic Clinic, PC | Clinic/Center | 510 W. 24th Street, Sioux Falls, SD 57105-1700 | 2010-10-13 |
| 1649412966 | Cheyenne River Sioux Tribe | Clinic/Center | Howes, Howes, SD 57748-0000 | 2009-04-01 |
| 1295977510 | Cherry Creek Tribal Health Center | Clinic/Center | Cherry Creek, Cherry Creek, SD 57622 | 2009-04-01 |
| 1104068428 | Cheyenne River Sioux Tribe | Clinic/Center | Swfitbird Community, Swiftbird, SD 57637-0000 | 2009-04-01 |
| 1588806806 | White Horse Tribal Health Center | Clinic/Center | White Horse Community, White Horse, SD 57661 | 2009-04-01 |
| 1093335333 | Mobridge Regional Hospital | Clinic/Center | 4401 Main St, Selby, SD 57472-2010 | 2020-04-16 |
| 1497385348 | Paragon Health & Wellness, LLC | Clinic/Center | 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 | 2020-01-20 |
| 1588223440 | Danielle Hohm, Fnp, Family Wellness Clinic | Clinic/Center | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
| 1437629128 | Root Function Wellness Pllc | Clinic/Center | 2320 9th Ave Se, Watertown, SD 57201-7112 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on FOUNDERS PARK CLINIC, PLLC.
| 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.