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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