NPIMap

Organization Active NPI

Black Hills Special Services

  • Supports Brokerage Agency
  • Rapid City, SD
National Provider Identifier
1003932682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
BLACK HILLS SPECIAL SERVICES
Practice address
730 E Watertown St
Rapid City, SD 57701-1300
Phone
(605) 394-5120
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jean-Claire Martin Hamblin
Title
Support Coordinator
Phone
(605) 394-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X NU Primary

Addresses

Primary practice location

730 E Watertown St
Rapid City, SD 57701-1300

Mailing address

PO Box 218
Sturgis, SD 57785-0218
Phone (605) 347-4467

Other identifiers 1

IdentifierTypeStateIssuer
5180140MedicaidSD

Other names 1

  • Western FS360PLANS Other name

National Provider Directory

National Provider Directory
Tax ID family
Black Hills Special Services Cooperative9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003932682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577850218",
            "telephone_number": "605-347-4467",
            "fax_number": "605-347-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E WATERTOWN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011300",
            "telephone_number": "605-394-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS SPECIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "JEAN-CLAIRE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "605-394-5120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180140",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western FS360PLANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.