Organization Active NPI

Pennington County Sheriff'S Office

  • Substance Abuse Rehabilitation Facility
  • Rapid City, SD
National Provider Identifier
1194851469
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PENNINGTON COUNTY SHERIFF'S OFFICE
Practice address
725 N Lacrosse St
Ste 300
Rapid City, SD 57701-1491
Phone
(605) 394-6128
Fax
(605) 394-6890
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Brenda K Boetel
Title
Assistant Director
Phone
(605) 394-6128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

725 N Lacrosse St
Ste 300
Rapid City, SD 57701-1491

Mailing address

725 N Lacrosse St
Ste 300
Rapid City, SD 57701-1491
Phone (605) 394-6128

Other names 1

  • City County Alcohol and Drug Programs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City County Alcohol and Drug Programs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

725 N Lacrosse St
Ste 300
Rapid City, SD 57701
Phone (605) 394-6128

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1194851469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N LACROSSE ST",
            "address_2": "STE 300",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011491",
            "telephone_number": "605-394-6128",
            "fax_number": "605-394-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N LACROSSE ST",
            "address_2": "STE 300",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011491",
            "telephone_number": "605-394-6128",
            "fax_number": "605-394-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON COUNTY SHERIFF'S OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BOETEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "605-394-6128",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City County Alcohol and Drug Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2008; 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.