MAVERICK HEALTH CARE, PROF. LLC
NPI 1104559814
Clinic/Center - Primary Care in Belle Fourche, SD

Q: What is Maverick Health Care, Prof. LLC's NPI number?

The NPI number for Maverick Health Care, Prof. LLC is 1104559814. It was assigned to this organization in the NPPES registry on July 8, 2022.

Q: What is Maverick Health Care, Prof. LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since July 08, 2022

2200 13TH AVE, BELLE FOURCHE, SD 57717(605) 892-3331 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Jul 16, 2022, Jul 8, 2022 (3 updates tracked since 2022).

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About Maverick Health Care, Prof. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVERICK HEALTH CARE, PROF. LLC (NPI 1104559814) is a healthcare organization registered as a primary care in Belle Fourche, South Dakota and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Spearfish and lists Helen Anne Kuehlman, Medical Director / Owner Of Llc, as its authorized official.

NPPES Registry Identity

NPI1104559814

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMAVERICK HEALTH CARE, PROF. LLC

Location Address2200 13TH AVEBelle Fourche, SD 57717-2215

Mailing Address2625 Maverick CtSpearfish, SD 57783-9702 · (815) 531-4028

Phone(605) 892-3331

Organization SubpartNo

Authorized OfficialHelen Anne KuehlmanMedical Director / Owner Of Llc · (815) 531-4028

Enumeration DateJuly 8, 2022

Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1104559814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2200 13TH AVE, Belle Fourche, SD 57717

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Secondary Practice Location 1

Location 11020 N 10th StSpearfish, SD 57783-2203 · Phone (605) 642-2716

Other Identifiers 1

Other1104559814Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS D EVERSON MD

Family Medicine