NPIMap

Organization Active NPI

Black Hills Surgical Hospital, LLC

Doing business as Black Hills Surgical Hospital

  • Orthopaedic Surgery Physician
  • Rapid City, SD
National Provider Identifier
1336009646
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BLACK HILLS SURGICAL HOSPITAL, LLC
Doing business as
Black Hills Surgical Hospital
Sanford Health Gillette Clinic
Sanford Health Sheridan Clinic
Practice address
1730 Haines Ave
Rapid City, SD 57701-0615
Phone
(605) 791-7788
NPI assigned
Nov 18, 2025
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Tony Lee Morrison
Title
VP, Chief Revenue Cycle Officer
Phone
(605) 328-8380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1730 Haines Ave
Rapid City, SD 57701-0615

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

467 W Lott St
Buffalo, WY 82834
Phone (605) 721-4700

Other practice location 2

825 Centennial Dr
Chadron, NE 69337-9400
Phone (307) 670-9150

Other practice location 3

2201 S Douglas Hwy Ste 120
Gillette, WY 82718-5408
Phone (605) 341-1414

Other practice location 4

1124 Washington Blvd
Newcastle, WY 82701-2972
Phone (307) 686-8283

Other practice location 5

1301 Avon St Ste A
Sheridan, WY 82801-2758
Phone (605) 341-1414

Other names 3

  • Black Hills Surgical Hospital Doing business as
  • Sanford Health Gillette Clinic Doing business as
  • Sanford Health Sheridan Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000485 SD Part B Supplier - Clinic/Group Practice 5496742835 Receives reassigned benefits from 200 practitioners
4 other NPIs on this enrollment
Practice locations: Rapid City, SD; Spearfish, SD; Hot Springs, SD; Philip, SD; Mitchell, SD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Black Hills Surgical Hospital LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

7220 Mount Rushmore Rd
Rapid City, SD 57702
Phone (605) 737-9144

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1336009646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 HAINES AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010615",
            "telephone_number": "605-791-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 W Lott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "WY",
            "postal_code": "82834",
            "country_code": "US",
            "telephone_number": "605-721-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Chadron",
            "state": "NE",
            "postal_code": "693379400",
            "country_code": "US",
            "telephone_number": "307-670-9150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 S Douglas Hwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827185408",
            "country_code": "US",
            "telephone_number": "605-341-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012972",
            "country_code": "US",
            "telephone_number": "307-686-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Avon St Ste A",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012758",
            "country_code": "US",
            "telephone_number": "605-341-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK HILLS SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP, CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Black Hills Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Gillette Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Sheridan Clinic",
            "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 Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.