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BLACK HILLS RECOVERY CENTER NPI 1629235627


NPI Information

NPI: 1629235627
Provider Name: BLACK HILLS RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 43D0980898

Address:
1807 WILLIAMS ST
STURGIS, SD
ZIP 57785
Phone: (605) 347-3003
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BLACK HILLS RECOVERY CENTER is a substance abuse rehabilitation facility in Sturgis, SD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BLACK HILLS RECOVERY CENTER NPI is 1629235627. The provider is registered as an organization entity type.

The provider's business location address is:

1807 WILLIAMS ST
STURGIS, SD
ZIP 57785-142
Phone: (605) 347-3003
Fax: (605) 347-4944

The provider's authorized official is Mary Wood-fossen .
The authorized official title is Director and has the following contact phone number (605) 347-3003.

The CLIA number assigned to this NPI record is 43D0980898 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 4/18/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityACCREDITATIONSOUTH DAKOTAYes

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: 5/5/2024

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