Provider Type Icon

BLACK HILLS ORTHOTICS & PROSTHETICS NPI 1063553287


NPI Information

NPI: 1063553287
Provider Name: BLACK HILLS ORTHOTICS & PROSTHETICS
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
1802 ELM AVE
RAPID CITY, SD
ZIP 57701
Phone: (605) 341-8577
Get Directions

BLACK HILLS ORTHOTICS & PROSTHETICS is a prosthetics case management specialist in Rapid City, SD. BLACK HILLS ORTHOTICS & PROSTHETICS NPI is 1063553287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1802 ELM AVE
RAPID CITY, SD
ZIP 57701-846
Phone: (605) 341-8577
Fax: (605) 341-7656

The provider's authorized official is Mark Alan Parrell .
The authorized official title is Owner Certified Orthotist and has the following contact phone number (605) 341-8577.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/21/2022.


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
11744P3200XSpecialistProsthetics Case Management53-001-E-STSOUTH 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
19151810MEDICAIDSOUTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.