DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLACK HILLS SURGICAL HOSPITAL, LLC

MEDICARE: BLACK HILLS SURGICAL HOSPITAL, LLC
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
1284300000XSpecial Hospital10582SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679535132
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLACK HILLS SURGICAL HOSPITAL, LLC
Provider Business Mailing Address
First Line : 1868 LOMBARDY DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57703-4130
Country : US
Telephone Number : 605-721-4934
Fax Number :
Provider Business Practice Location Address
First Line : 216 ANAMARIA DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7366
Country : US
Telephone Number : 605-721-4700
Fax Number :
Authorized Official
Title or Position : CFO
Name : TINA WESTON
Credential :
Telephone Number : 605-721-4922
Provider Enumeration Date : 04/03/2006
Last Update Date : 04/15/2026

Similar Medicare Providers

1861486375 — GREG TERRASAS MD
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043
1710971239 — ERIN RETZER CRNA
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043
1700870227 — TERRI VANHEUVELN CRNA
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043
1427042944 — GARY BREWER CRNA
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043
1154315679 — DAVID VOELLER CRNA
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043
1376537803 — DOUGLAS RETZER CRNA
Practice Location Address:
216 ANAMARIA DR
RAPID CITY, SD
57701-7366
Practice Phone: 605-721-0337
Practice Fax: 605-721-0043

Directions to “BLACK HILLS SURGICAL HOSPITAL, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.