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NPI Code Detail

MEDICARE: BLACK HILLS MEDICAL GROUP LLP

MEDICARE: BLACK HILLS MEDICAL GROUP LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207K00000XAllergy & Immunology Physician

General Provider Information

NPI Number : 1558221473
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLACK HILLS MEDICAL GROUP LLP
Provider Business Mailing Address
First Line : 717 SAINT FRANCIS ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-4677
Country : US
Telephone Number : 605-342-2880
Fax Number : 833-468-4799
Provider Business Practice Location Address
First Line : 717 SAINT FRANCIS ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-4677
Country : US
Telephone Number : 605-342-2880
Fax Number : 833-468-4799
Authorized Official
Title or Position : ADMINISTRATOR
Name : HEATHER BINDEL
Credential :
Telephone Number : 605-718-2018
Provider Enumeration Date : 11/13/2025
Last Update Date : 05/04/2026

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Directions to “BLACK HILLS MEDICAL GROUP LLP ” Practice Location

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