BLACKHILLS DIALYSIS, L.L.C. – NPI #1316147440
Clinic/Center

BLACKHILLS DIALYSIS, L.L.C. is an AHC clinic located in EAGLE BUTTE, SD. NPPES has assigned the NPI number 1316147440 to BLACKHILLS DIALYSIS, L.L.C. on July 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 2 years ago on Feb 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKHILLS DIALYSIS, L.L.C. below.

NPI Profile for
BLACKHILLS DIALYSIS, L.L.C.

NPI Number
1316147440
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACKHILLS DIALYSIS, L.L.C.
Primary location
MAIN STREET
EAGLE BUTTE, SD 57625
Phone: (605) 964-2311 Fax: (605) 964-2313
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LOUIS RAYMOND
MEDICAL DIRECTOR
Phone: (605) 964-2311
Updated
Certification Date
Feb 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BLACKHILLS DIALYSIS, L.L.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSD5400370
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.