Belle Fourche Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10594 Issued in SD

Legal business name

BELLE FOURCHE HEALTHCARE, LLC

Doing business as

Belle Fourche Healthcare Community

Practice address

2200 - 13TH Avenue
Belle Fourche, SD 57717-2215

Phone

(605) 892-3331

Fax

(605) 723-0204

NPI assigned

Apr 11, 2006

Last updated

Nov 3, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

WELCOV HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas E. Boerboom

Title

Chief Operating Officer

Phone

(952) 873-7907

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Belle Fourche Healthcare Community Doing business as

Part of

Welcov Healthcare LLC

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1063475812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 - 13TH AVENUE",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172215",
            "telephone_number": "605-892-3331",
            "fax_number": "605-723-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 - 13TH AVENUE",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172215",
            "telephone_number": "605-892-3331",
            "fax_number": "605-723-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE FOURCHE HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELCOV HEALTHCARE, LLC",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "BOERBOOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "952-873-7907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150203",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Fourche Healthcare Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren R Baumberger, DPT
• Belle Adult Day and Senior Services, LLC (Highland Adult Day Services)
• Belle Care
• Belle Drug, LLC
• Belle Fourche Counseling - LLC
• Belle Fourche Nursing and Rehab Center LLC
• Belle Fourche School District 9-1
• Belle Fourche Senior Citizens Center
• Ladonna Raye Bender, CNP
• Allison Bensen, LPC

• Skilled Nursing Facility in Belle Fourche, SD
• Providers in Belle Fourche, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.