COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC (NPI# 1518219633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518219633 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC |
| Practice Address |
350 Pine Street Rapid City SD 57701 |
| Practice Telephone | 6057218919 |
| Practice Fax Number | 6057218834 |
| Mailing Telephone | 6057218919 |
| Mailing Fax Number | 6057218834 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | TIMOTHY TRITHART (CEO) |
| Authorized Official Telephone | 6057218939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
SD | Dental Providers |
| Street Address |
350 PINE STREET |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720126220 | Gregory P Williams | Dentist | 330 E Stumer Rd, Rapid City, SD 57701-6406 | 2007-02-05 |
| 1407091424 | Williams Oral and Maxillofacial Surgery, Prof. L.L.C. | Dentist | 330 E Stumer Rd, Rapid City, SD 57701-6406 | 2008-12-04 |
| 1194972877 | Isaac John Morgan | Dentist | 3415 5th St, Rapid City, SD 57701-7365 | 2008-08-25 |
| 1558315838 | Jay Alan Crossland | Dentist | 3415 5th St, Rapid City, SD 57701-7365 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821118480 | Brent Jason Henriksen | Dentist | 1700 S. Southeastern Ave., River Ridge Oral and Maxillofacial Surgical Center, Sioux Falls, SD 57103 | 2007-03-29 |
| 1720116866 | Kenneth Vanasma | Dentist | 15308 Grand View Dr, Piedmont, SD 57769-7326 | 2007-03-01 |
| 1104984483 | Carl Mccamey Kimbler | Dentist | 820 1st Ave Se, Suite 400, Aberdeen, SD 57401-4601 | 2006-12-05 |
| 1649241407 | Harvey A Akerson | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-01-30 |
| 1952381899 | Nathan Alexander Phillips | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2006-01-18 |
| 1376522714 | River Ridge Oral & Maxillofacial Surgical Center | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 | 2006-01-13 |
| 1487639316 | Bruce Evan Partnoy | Dentist | 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108 | 2005-12-14 |
| 1588083711 | Trevor Holleman | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103 | 2014-04-15 |
| 1710270590 | Jared Eric Dye | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2011-05-26 |
| 1326295361 | Erick Rath Dds Phd PC | Dentist | 433 S Central Ave, Pierre, SD 57501-4508 | 2008-08-21 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
| 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.