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Organization
BLACK HILLS SURGICAL HOSPITAL, LLC
Active
Organization
BLACK HILLS SURGICAL HOSPITAL, LLC
Active
Other names
Black Hills Surgery Center, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WESTON (CFO)
(605) 721-4922
Entity
Organization
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-4700
Mailing address
1868 LOMBARDY DR, RAPID CITY, SD 57703-4130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10582
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108020
—
SD
05
—
5508020
—
SD
Enumeration date
02/27/2007
Last updated
12/16/2024
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