Organization
BLACK HILLS SURGICAL HOSPITAL, LLP
Active
Organization
BLACK HILLS SURGICAL HOSPITAL, LLP
Active
Other names
Black Hills Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI KONST (SUPERVISOR BILLING & REIMBURSEMENT)
(605) 721-4934
Entity
Organization
Contact information
Practice address
215 ANAMARIA DR, RAPID CITY, SD 57701-7376
(605) 721-4800
(605) 721-4964
Mailing address
1868 LOMBARDY DR, RAPID CITY, SD 57703-4130
(605) 721-4900
(605) 721-4964
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
10582
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108020
—
SD
05
—
5508020
—
SD
01
—
SD01300
SUBMITTER ID
SD
Enumeration date
04/03/2009
Last updated
10/13/2009
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