NPIMap

Organization Active NPI

Black Hills Special Services Cooperative

  • Developmentally Disabled Services Day Training Agency
  • Sturgis, SD
National Provider Identifier
1578600417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
5150640 Issued in SD
Legal business name
BLACK HILLS SPECIAL SERVICES COOPERATIVE
Practice address
2885 Dickson Drive
Sturgis, SD 57785-0218
Phone
(605) 347-4467
Fax
(605) 347-5223
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Casey Geis
Title
Accounts Receivable Clerk
Phone
(605) 347-4467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 5150640 SD Primary

Addresses

Primary practice location

2885 Dickson Drive
Sturgis, SD 57785-0218

Mailing address

PO Box 218
Sturgis, SD 57785-0218
Phone (605) 347-4467

Other identifiers 1

IdentifierTypeStateIssuer
5150640MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Black Hills Special Services Cooperative9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2885 Dickson Dr
Sturgis, SD 57785
Phone (605) 347-4467

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578600417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577850218",
            "telephone_number": "605-347-4467",
            "fax_number": "605-347-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 DICKSON DRIVE",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577850218",
            "telephone_number": "605-347-4467",
            "fax_number": "605-347-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS SPECIAL SERVICES COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE CLERK",
        "authorized_official_telephone_number": "605-347-4467"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SD",
            "license": "5150640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5150640",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.