Black Hills Health & Wellness Dba Cascade Chiropractic
Organization Active NPI Chiropractor · Hot Springs, SD
NPI 1689823908 · NPPES record last updated Jul 18, 2011
Key facts
- NPI
- 1689823908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 930 (SD)
- Legal business name
- BLACK HILLS HEALTH & WELLNESS DBA CASCADE CHIROPRACTIC
- Practice address
- 711 Albany Ave
Hot Springs, SD 57747-2335 - Phone
- (605) 745-5119
- Fax
- (605) 745-3016
- NPI assigned
- Sep 10, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- BLACK HILLS HEALTH & WELLNESS CENTER OF RAPID CITY
Authorized official
- Name
- Tina Morford
- Title
- Billing Manager
- Phone
- (605) 341-7500
Other NPIs on the same Medicare enrollment 2
Practitioners 1
-
Scott Fredrick Ruff, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000258 | SD | Part B Supplier - Clinic/Group Practice | 1850291659 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rapid City, SD |
National Provider Directory
- Part of
- Black Hills HLTH Wellness
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 930 | SD | Yes |
Addresses
Primary practice location
711 Albany Ave
Hot Springs, SD 57747-2335
Mailing address
PO Box 1229
Hot Springs, SD 57747-3329
Phone (605) 745-5119
Other providers in Hot Springs, SD
- Christopher Baesler
- Mac Baker
- Battle Mountain Physical Therapy LLC
- Behavior Management Services
- Bianka N/a Bidovska-Miller
- Lori Mae Boggs
- Christine Lynne Bradbury
- Melissa Renee Brand
- Andrea Lynn Briese
- Galen Wade Britain
All providers in Hot Springs, SD · Chiropractor 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 Jul 18, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.