PENNINGTON COUNTY SHERIFF'S OFFICE NPI 1194851469

NPI Information

  • NPI: 1194851469
  • Provider Name: PENNINGTON COUNTY SHERIFF'S OFFICE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: CITY COUNTY ALCOHOL AND DRUG PROGRAMS
  • Address: 725 N LACROSSE ST
    STE 300
    RAPID CITY, SD
    ZIP 57701
  • Phone: (605) 394-6128

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NPI Details

PENNINGTON COUNTY SHERIFF'S OFFICE is a substance abuse rehabilitation facility in Rapid City, 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. PENNINGTON COUNTY SHERIFF'S OFFICE NPI is 1194851469. The provider is registered as an organization entity type.
The provider Is Doing Business As City County Alcohol And Drug Programs.

The provider's business location address is:

725 N LACROSSE ST
STE 300
RAPID CITY, SD
ZIP 57701-491
Phone: (605) 394-6128
Fax: (605) 394-6890

The provider's authorized official is Brenda K Boetel .
The authorized official title is Assistant Director and has the following contact phone number (605) 394-6128.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 6/17/2008.

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 FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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