Organization · Type 2 NPI

Advanced Ent and Allergy Center of the Black Hills, Prof LLC

Clinic/Center · Rapid City, SD

NPI number 1346849478 Active

Practice location

4940 5th St Ste 2B
Rapid City, SD 57701-6026

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Rapid City

See all in Rapid City →

NPI record

NPI: 1346849478
Entity type: Organization (Type 2)
Issued: Oct 20, 2020
Last updated: Feb 8, 2021
Status: Active

Other names

<unavail>
Advanced Ent and Allergy Center of the Black Hills, Prof LLC · doing business as
Advanced Ent and Allergy Center of the Black Hills, Prof LLC · doing business as

Authorized official

Dr. Jay Warren White, MD
Owner
(605) 716-6390

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1346849478

Advanced Ent and Allergy Center of the Black Hills, Prof LLC's National Provider Identifier is 1346849478, issued on Oct 20, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Rapid City, SD. The record was last updated on Feb 8, 2021.