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 provides Nurse Practitioner services 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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