Organization Active NPI

Black Hills Special Services

  • Case Management Agency
  • Deadwood, SD
National Provider Identifier
1740326214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BLACK HILLS SPECIAL SERVICES
Practice address
870 Main St
Deadwood, SD 57732-1004
Phone
(605) 578-3298
Fax
(605) 722-2603
NPI assigned
Jan 30, 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
Marlys J Feist
Title
Family Support Coordinator
Phone
(605) 578-3298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

870 Main St
Deadwood, SD 57732-1004

Mailing address

PO Box 218
Sturgis, SD 57785-0218
Phone (605) 578-3298

Other identifiers 1

IdentifierTypeStateIssuer
5180052MedicaidSD

Other names 1

  • Black Hills Family Support Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740326214",
    "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": "605-578-3298",
            "fax_number": "605-722-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MAIN ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321004",
            "telephone_number": "605-578-3298",
            "fax_number": "605-722-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS SPECIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEIST",
        "authorized_official_first_name": "MARLYS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FAMILY SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "605-578-3298"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180052",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Family Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deadwood, 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.