Healthcare Provider Details

I. General information

NPI: 1275956948
Provider Name (Legal Business Name): BLACK HILLS TRANSIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 E COLORADO BLVD
SPEARFISH SD
57783-2769
US

IV. Provider business mailing address

135 E COLORADO BLVD
SPEARFISH SD
57783-2755
US

V. Phone/Fax

Practice location:
  • Phone: 605-642-2250
  • Fax:
Mailing address:
  • Phone: 605-642-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateSD

VIII. Authorized Official

Name: BARBARA K CLINE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 605-642-2250