Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Medical Center PLLC

Organization Nurse Practitioner · NPI 1073390944

Tri State Medical Center PLLC is a Nurse Practitioner in Belle Fourche, South Dakota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2398 5th Ave Ste 101
Belle Fourche, SD 57717-2340
Phone: (605) 645-2064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1073390944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Kudlock — Owner · (605) 568-0191
Other names Tri State Medical Center Pllc; Tri State Medical Center Pllc
NPI enumeratedSeptember 13, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address2398 5th Ave Ste 101, Belle Fourche, SD 57717-2340

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