Active NPI
Pennington County Sheriff'S Office
- Substance Abuse Rehabilitation Facility
- Rapid City, SD
National Provider Identifier
1194851469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- City County Alcohol and Drug Programs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Rapid City, SD
- NPI 1851997704
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.