BLACK HILLS SURGICAL HOSPITAL, LLP (NPI# 1063654176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654176 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS SURGICAL HOSPITAL, LLP |
| Other Organization Name | BLACK HILLS IMAGING CENTER |
| Practice Address |
215 Anamaria Dr Rapid City SD 57701-7376 |
| Mailing Address |
1868 Lombardy Dr Rapid City SD 57703-4130 |
| Practice Telephone | 6057214800 |
| Practice Fax Number | 6057214964 |
| Mailing Telephone | 6057214900 |
| Mailing Fax Number | 6057214964 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | MS. LORI KONST (SUPERVISOR BILLING & REIMBURSEMENT) |
| Authorized Official Telephone | 6057214934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 10582 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SUBMITTER ID | SD01300 | 01 |
| SD | 0108020 | 05 | |
| SD | 5508020 | 05 |
| Other Name | Type Code |
|---|---|
| Black Hills Imaging Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306295217 | Black Hills Surgical Hospital, LLP | Clinic/Center | 120 E Michigan St, Spearfish, SD 57783-1506 | 2016-06-10 |
| 1417304924 | Black Hills Surgical Hospital, LLP | Surgery | 1868 Lombardy Dr, Rapid City, SD 57703-4130 | 2016-05-16 |
| 1154458453 | Black Hills Surgical Hospital, LLP | Pharmacy | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2007-02-27 |
| 1972630275 | Black Hills Surgical Hospital, LLP | Anesthesiology | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2007-02-27 |
| 1679535132 | Black Hills Surgical Hospital, LLP | Special Hospital | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2006-04-03 |
| Street Address |
215 ANAMARIA DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| 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. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205344629 | Regional Health Physicians, Inc. | Special Hospital | 353 Fairmont Blvd Ste 900, Rapid City, SD 57701-7375 | 2018-01-19 |
| 1407819253 | Same Day Surgery Center LLC | Special Hospital | 651 Cathedral Dr, Rapid City, SD 57701-7368 | 2006-04-11 |
| 1770055725 | Regional Health Physicians, Inc. | Special Hospital | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-31 |
| 1083180822 | Regional Health Physicians, Inc. | Special Hospital | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1669925145 | Lindia Engram | Special Hospital | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2016-08-01 |
| 1124475397 | Sioux San Hospital | Special Hospital | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2016-05-18 |
| 1679535132 | Black Hills Surgical Hospital, LLP | Special Hospital | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1487644035 | Lewis & Clark Specialty Hospital LLC | Special Hospital | 2601 Fox Run Pkwy, Yankton, SD 57078-5341 | 2005-10-25 |
| 1891043550 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 4928 N Cliff Ave, Sioux Falls, SD 57104-0563 | 2012-08-28 |
| 1245516780 | Sioux Falls Specialty Hospital LLP | Special Hospital | 716 E 19th St, Sioux Falls, SD 57105-0904 | 2011-10-28 |
| 1871592030 | Dakota Plains Surgical LLP | Special Hospital | 701 8th Ave Nw, Aberdeen, SD 57401-1803 | 2005-07-20 |
| 1316946809 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 910 E 20th St, Sioux Falls, SD 57105-1012 | 2005-07-18 |
| City | RAPID CITY |
| Zip Code | 57701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.