BLACK HILLS SURGICAL HOSPITAL LLP (NPI# 1376896621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376896621 |
Entity Type | Organization |
Organization Name | BLACK HILLS SURGICAL HOSPITAL LLP |
Practice Address |
1868 Lombardy Dr Rapid City SD 57703-4130 |
Practice Telephone | 6057214900 |
Practice Fax Number | 6057214964 |
Mailing Telephone | 6057214900 |
Mailing Fax Number | 6057214964 |
Enumeration Date | 2012-10-24 |
Last Update Date | 2015-08-13 |
Authorized Official Name | MS. SUE SMITH (HIM MANAGER) |
Authorized Official Telephone | 6057214907 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208M00000X | Hospitalist | 10582 | SD | Allopathic & Osteopathic Physicians |
Y | 284300000X | Special Hospital | 10582 | SD | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | SUBMITTER ID | SD01300 | 01 |
SD | 0108020 | 05 | |
SD | 5508020 | 05 |
Street Address |
1868 LOMBARDY DR |
City | RAPID CITY |
State | SD |
Zip Code | 57703-4130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417304924 | Black Hills Surgical Hospital, LLP | Surgery | 1868 Lombardy Dr, Rapid City, SD 57703-4130 | 2016-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376197533 | Richard Brady Perdue | Dentist | 2606 Elderberry Blvd, Rapid City, SD 57703 | 2019-07-26 |
1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
1770878944 | Tom Dale Iverson | Pharmacist | 1415 Eglin St., Rapid City, SD 57703 | 2011-06-15 |
1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
1811271331 | Kelli Jo Birdsall | Speech-Language Pathologist | 4840 Homestead St, Rapid City, SD 57703-0194 | 2011-10-03 |
1932658762 | Lyndsay Farnsworth | Registered Nurse | 4840 Homestead St, Rapid City, SD 57703-0194 | 2016-09-21 |
1790953198 | Michele Ann Solano | Occupational Therapist | 1221 Aurora Dr, Rapid City, SD 57703-0198 | 2008-02-19 |
1902204894 | Delain Kay Johnson | Counselor | 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 | 2014-12-09 |
Find all providers in zip 57703 |
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 |
1063654176 | Black Hills Surgical Hospital, LLP | Special Hospital | 215 Anamaria Dr, Rapid City, SD 57701-7376 | 2009-04-03 |
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 | 57703 |
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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.