Organization · Type 2 NPI
Black Hills Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pine Ridge, SD
NPI number
1710087713
Active
Practice location
100 Dialysis Drive
Pine Ridge, SD 57770-3013
Fax (605) 867-6153
Mailing address
801 Mt. Rushmore Road, Suite 202
Rapid City, SD 57701-3541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1710087713
Black Hills Dialysis, LLC's National Provider Identifier is 1710087713, issued on Sep 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pine Ridge, SD. The record was last updated on Nov 7, 2014.