Organization Name: | BLACK HILLS ORTHOPEDIC & SPINE CENTER, PC |
NPI Number: | 1669513289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY HAMMERQUIST (BUSINESS DIRECTOR) |
Mailing Address: | 7220 S Highway 16 Rapid City |
State: | SD US |
Postal Code: | 577028708 |
Phone Number: | 6053411414 |
Fax Number: | 6053417062 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |