# BLACK HILLS HOSPITALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073843124
- **Authorized official:** DAVE R JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (605) 718-7450

## Contact information

- **Practice address:** 101 E MINNESOTA ST, SUITE 261, RAPID CITY, SD 57701-7756
- **Practice address phone:** (605) 718-7450
- **Practice address fax:** (605) 718-7465
- **Mailing address:** 101 E MINNESOTA ST, SUITE 261, RAPID CITY, SD 57701-7756
- **Mailing address phone:** (605) 718-7450
- **Mailing address fax:** (605) 718-7465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0502 | SD | Yes |

## Other

- **Enumeration date:** 01/12/2010
- **Last updated:** 03/18/2010