Community Health Center of the Black Hills Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Rapid City, SD
NPI 1669508677 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1669508677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CENTER OF THE BLACK HILLS INC
- Practice address
- 350 Pine St
Rapid City, SD 57701-1669 - Phone
- (605) 721-8939
- Fax
- (605) 721-8998
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Timothy Trihart
- Title
- Chief Executive Officer
- Phone
- (605) 721-8939
Practitioners 39
-
James A Aurand, M.D.
-
Jessica Buckley, CNP
-
Christine J Carey, CNP
-
Yvonne Jean Chase, CSW
-
Alina Gabriela Hanak, PMHNP
-
Sheryl Jane Jackson, CNP
-
Jennifer Anne Sobolik, CNP, FNP-C
-
Reena Sheppard, PA-C
-
Melissa M Bowers, DO
-
Michele Renee Cain, PHYSICIAN ASSISTANT-
-
Ashley Anziano, PA-C
-
Allen Ray Bond, DDS
-
Samuel W Cowgill, DMD
-
Andrea Lee Denke, MSW, CSW
-
Amanda N Diehl, MD
-
Mark Thomas Garry, M.D.
-
Brian Griffith, LPC-QMHP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in SD
Federally qualified health center certification: CCN 431812
- Legal name
- COMMUNITY HEALTH CENTER OF THE BLACK HILLS INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 10, 1992
- Last certification
- Sep 10, 1992
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 12, 1992 in SD
- Enrollment address
- 350 Pine St
Rapid City, SD 57701-1669
Federally qualified health center certification: CCN 431844
- Legal name
- COMMUNITY HEALTH CENTER OF THE BLACK HILLS INC
- Doing business as
- COMPLETE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 12, 2009
- Last certification
- Jun 12, 2009
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 12, 1992 in SD
- Enrollment address
- 10 Van Buren St
Rapid City, SD 57701-0969 - Related CCNs
- 431812
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Colleen Stadlman |
W-2 Managing Employee |
May 7, 2007 | |
| W-2 Managing Employee | Mar 1, 2009 | ||
| Steven R Dishman |
Corporate Director |
Jan 1, 2015 | |
| Ronald M. Reed |
Corporate Director |
Jan 1, 2011 | |
| Timothy Trithart |
Operational/Managerial Control |
May 1, 2010 | |
| Corporate Officer |
May 1, 2010 | ||
| Mary Corbine |
Corporate Director |
Jan 1, 2013 | |
| Lloyd Lacroix |
Corporate Director |
Jan 1, 2018 | |
| Corporate Director | Jan 1, 2018 | ||
| Lori L Larson |
Corporate Director |
Jan 1, 2018 | |
| Community Health Center of the Black Hills Inc |
Operational/Managerial Control | Sep 12, 1992 | 100% |
| Operational/Managerial Control | Aug 1, 2009 | 100% | |
| Jeanne a Galbraith |
Corporate Director |
Jan 1, 2017 | |
| Corporate Director | Jan 1, 2017 | ||
| Lois Ames |
Corporate Director |
Jan 1, 2011 | |
| Richard Stracqualursi |
Corporate Director |
Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000990 | SD | Part B Supplier - Independent Clinical Laboratory | 7618886334 | Practice locations: Rapid City, SD |
| O20040305001017 | SD | Part B Supplier - Clinic/Group Practice | 7618886334 |
Receives reassigned benefits from 14 practitioners Practice locations: Rapid City, SD |
| O20080721000427 | SD | Part a Provider - Federally Qualified Health Center (FQHC) | 7618886334 | Practice locations: Rapid City, SD |
| O20090603000501 | SD | Part a Provider - Federally Qualified Health Center (FQHC) | 7618886334 | Practice locations: Rapid City, SD |
National Provider Directory
Locations
405 N Cherry Ave
Rapid City, SD 57701
Phone (605) 394-6665
527 Quincy St
Rapid City, SD 57701
Phone (605) 394-6665
1844 Lombardy Dr
Rapid City, SD 57703
Phone (605) 394-6665
685 N Lacrosse St
Rapid City, SD 57701
Phone (605) 394-6665
30 Main St
Rapid City, SD 57701
Phone (605) 394-2230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
350 Pine St
Rapid City, SD 57701-1669
Mailing address
350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939
Other practice location 1
217 Kansas City St Ste 200
Rapid City, SD 57701-3012
Phone (605) 721-8939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD04129S3001 | Other | SD | MEDICARE PART B |
| SD04129S3000 | Other | SD | MEDICARE PART B |
| 5350060 | Medicaid | SD |
Other names
- Complete Health
- Rapid City Community Health Center
Other providers in Rapid City, SD
- Nicholas Andrew Colwell
- Anita Marie Comeau
- Keyra Jeanne Comer
- Community Health Center of the Black Hills Inc
- Community Health Center of the Black Hills Inc
- Community Health Center of the Black Hills, Inc
- Brianna Compton
- Aubrey Jean Comstock
- Sierra Condo
- Janice Conlee
All providers in Rapid City, SD · Federally Qualified Health Center (FQHC) in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.