NPI 1417304924

Black Hills Surgical Hospital, LLP

Organisation Surgery Physician Rapid City, SD

Practice location

Address: 1868 Lombardy Dr, Rapid City, SD 57703-4130
Phone: (605) 721-4900
Fax: (605) 721-4964

Authorised official

Name: Jack Kaup
Title: Cfo
Phone: (605) 721-4918

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 9104 (SD)

Other Surgery providers in South Dakota →

Registry record

NPI: 1417304924
Entity type: Organization
NPI issued: 16 May 2016
Record last updated: 1 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.