Organization
BLACK HILLS SURGICAL HOSPITAL, LLP
Active
Other names
Black Hills Surgery Center, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L KONST CPC, CPC-H (SUPERVISOR BILLING & REIMBURSEMENT)
(605) 721-4934
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
3336I0012X
Institutional Pharmacy
Primary
200-1673
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108020
—
SD
05
—
5508020
—
SD
Enumeration date
02/27/2007
Last updated
10/13/2009
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