NPIMap

Organization Active NPI

Community Health Center of the Black Hills, Inc

  • General Practice Physician
  • Rapid City, SD
National Provider Identifier
1518219633
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC
Practice address
350 Pine Street
Rapid City, SD 57701
Phone
(605) 721-8919
Fax
(605) 721-8834
NPI assigned
Oct 12, 2012
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Timothy Trithart
Title
Ceo
Phone
(605) 721-8939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

350 Pine Street
Rapid City, SD 57701

Mailing address

350 Pine Street
Rapid City, SD 57701
Phone (605) 721-8919

Other practice location 1

10 Van Buren St
Rapid City, SD 57701-0969
Phone (605) 721-8939

Other practice location 2

217 Kansas City St Ste 200
Rapid City, SD 57701-3012
Phone (605) 721-8939

National Provider Directory

National Provider Directory
Tax ID family
RC Comm Health Ctr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

30 Main St
Rapid City, SD 57701
Phone (605) 394-2230

350 Pine St
Rapid City, SD 57701
Phone (605) 721-8939

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1518219633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE STREET",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-721-8919",
            "fax_number": "605-721-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE STREET",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-721-8919",
            "fax_number": "605-721-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577010969",
            "country_code": "US",
            "telephone_number": "605-721-8939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Kansas City St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577013012",
            "country_code": "US",
            "telephone_number": "605-721-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-02-28",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "TRITHART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-721-8939"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 28, 2022; 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.