Organization
BLACK HILLS SURGICAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE SMITH (HIM MANAGER)
(605) 721-4907
Entity
Organization
Contact information
Practice address
1868 LOMBARDY DR, RAPID CITY, SD 57703-4130
(605) 721-4900
(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
208M00000X
Hospitalist Physician
10582
SD
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
10/24/2012
Last updated
12/16/2024
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