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BLACK HILLS SURGICAL HOSPITAL LLP NPI 1417304924


NPI Information

NPI: 1417304924
Provider Name: BLACK HILLS SURGICAL HOSPITAL, LLP

Doing Business As: WEST RIVER EAR, NOSE, AND THROAT

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1868 LOMBARDY DR
RAPID CITY, SD
ZIP 57703
Phone: (605) 721-4900
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BLACK HILLS SURGICAL HOSPITAL, LLP is a surgery in Rapid City, SD. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BLACK HILLS SURGICAL HOSPITAL, LLP NPI is 1417304924. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West River Ear, Nose, And Throat.

The provider's business location address is:

1868 LOMBARDY DR
RAPID CITY, SD
ZIP 57703-130
Phone: (605) 721-4900
Fax: (605) 721-4964

The provider's authorized official is Jack Kaup .
The authorized official title is Cfo and has the following contact phone number (605) 721-4918.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 9/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery9104SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15508020MEDICAIDSOUTH DAKOTA
2S101689MEDICARE PINSOUTH DAKOTA
3430091MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
40108020MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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