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BLACK HILLS SURGICAL HOSPITAL LLP NPI 1376896621


NPI Information

NPI: 1376896621
Provider Name: BLACK HILLS SURGICAL HOSPITAL LLP
Classification: Special Hospital - 284300000X
Entity Type: Organization

CLIA Number: 43D1071459

Address:
1868 LOMBARDY DR
RAPID CITY, SD
ZIP 57703
Phone: (605) 721-4900
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BLACK HILLS SURGICAL HOSPITAL LLP is a special hospital in Rapid City, SD. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. BLACK HILLS SURGICAL HOSPITAL LLP NPI is 1376896621. The provider is registered as an organization entity type and is a single specialty group.

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 Sue Smith .
The authorized official title is Him Manager and has the following contact phone number (605) 721-4907.

The CLIA number assigned to this NPI record is 43D1071459 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 8/13/2015.


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
1208M00000XHospitalist10582SOUTH DAKOTANo
2284300000XSpecial Hospital10582SOUTH 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
1S100328MEDICARE PINSOUTH DAKOTA
2430091MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
30108020MEDICAIDSOUTH DAKOTA
4SD01300OTHERSOUTH DAKOTASUBMITTER ID
55508020MEDICAIDSOUTH 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

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