Black Hills Surgical Hospital, LLC
Organization Active NPI Urgent Care Clinic/Center · Rapid City, SD
NPI 1124385554 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1124385554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- BLACK HILLS SURGICAL HOSPITAL, LLC
- Practice address
- 1730 Haines Ave
Rapid City, SD 57701-0615 - Phone
- (605) 791-7788
- NPI assigned
- Apr 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Lori Konst
- Title
- Manager
- Phone
- (605) 721-4934
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 10
Member of 1
Practitioners 36
-
Joseph W Amo, CRNA
-
Lori Ann Borella, M.D.
-
Jennie A Brehm, PA
-
Daryl S Dickson, MD
-
Kate Ellen Dyer, CNP
-
Blake T Greenfield, PA-C
-
Ronald Mark Guy, M.D.
-
Danielle Marie Heins, P.A.
-
David Lee Kallas, CRNA
-
Jason L Meister, CRNA
-
John Eric Myskiw, PHYSICIAN ASSISTANT
-
Rachel Paulsen, CNP
-
Wendy Peterson, PA
-
Jack Robert Schleiffarth, M.D.
-
Danielle L Shafer, PA-C
-
Shannon T White, CRNA
-
Catherine Ann Wilson, CRNA
-
Jocelin P Cartier, PA-C
-
Shelly Renea Fair, CRNA
-
Laurie Giacoletto, PA-C
-
Jett Joseph Mercer, M.D.
-
Kelly A Morgan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050616000485 | SD | Part B Supplier - Clinic/Group Practice | 5496742835 |
Receives reassigned benefits from 200 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rapid City, SD; Spearfish, SD; Hot Springs, SD; Philip, SD; Mitchell, SD |
National Provider Directory
- Tax ID family
- Black Hills Surgical Hospital LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1730 Haines Ave
Rapid City, SD 57701-0615
Mailing address
PO Box 817
Rapid City, SD 57709-0817
Other practice location 1
741 Mountain View Rd Ste 1
Rapid City, SD 57702-2539
Phone (605) 721-4907
Other names
- Black Hills Urgent Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Rapid City, SD
- Black Hills Sleep & TMJ Solutions
- Black Hills Sleep Center
- Black Hills Somatic Solutions, LLC
- Black Hills Special Services
- Black Hills Special Services Cooperative
- Black Hills Surgical Hospital, LLC
- Black Hills Surgical Hospital, LLC
- Black Hills Surgical Hospital, LLC
- Black Hills Surgical Hospital, LLC
- Black Hills Surgical Hospital, LLC
All providers in Rapid City, SD · Urgent Care Clinic/Center in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.