Black Hills Special Services Cooperative

Organization Active NPI Case Manager/Care Coordinator · Pierre, SD

NPI 1700035136 · NPPES record last updated Sep 10, 2008

Key facts

NPI
1700035136
Entity type
Organization (NPI type 2)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Legal business name
BLACK HILLS SPECIAL SERVICES COOPERATIVE
Practice address
221 S Central Ave
Pierre, SD 57501-2479
Phone
(605) 224-5336
Fax
(605) 224-8320
NPI assigned
Sep 10, 2008
Organization subpart
No

Authorized official

Name
Brooke Nicole Lusk
Title
Program Director
Phone
(605) 224-5336

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Black Hills Special Services Cooperative (9 organizations share this tax ID)

Locations

221 S Central Ave
Pierre, SD 57501
Phone (605) 224-5336

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

221 S Central Ave
Pierre, SD 57501-2479

Mailing address

221 S Central Ave
Pierre, SD 57501-2479
Phone (605) 224-5336

Other providers in Pierre, SD

All providers in Pierre, SD · Case Manager/Care Coordinator in South Dakota

Sources for this page

Verify at the official NPI Registry.