Organization Active NPI

Northern Hills Training Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Spearfish, SD
National Provider Identifier
1124174651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0180110 Issued in SD
Legal business name
NORTHERN HILLS TRAINING CENTER, INC.
Practice address
625 Harvard St
Spearfish, SD 57783-1897
Phone
(605) 642-2785
Fax
(605) 642-5069
NPI assigned
Jan 26, 2007
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
Fred Romkema
Title
Ceo
Phone
(605) 642-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0180110 SD Primary

Addresses

Primary practice location

625 Harvard St
Spearfish, SD 57783-1897

Mailing address

625 Harvard St
Spearfish, SD 57783-1897
Phone (605) 642-2785

Other identifiers 1

IdentifierTypeStateIssuer
0180110MedicaidSD

National Provider Directory

National Provider Directory

Locations

625 Harvard St
Spearfish, SD 57783
Phone (605) 642-2785

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124174651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HARVARD ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831897",
            "telephone_number": "605-642-2785",
            "fax_number": "605-642-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HARVARD ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831897",
            "telephone_number": "605-642-2785",
            "fax_number": "605-642-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HILLS TRAINING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMKEMA",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-642-2785"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SD",
            "license": "0180110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, 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.