NPIMap

Organization Active NPI

Black Hills Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Rapid City, SD
National Provider Identifier
1336009646
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 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
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

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

741 Mountain View Rd
Ste A1
Rapid City, SD 57702

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 206

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": "1785369600000",
    "number": "1336009646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090817"
        },
        {
            "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": "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": "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": "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": "2026-07-30",
        "certification_date": "2026-07-30",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 30, 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.