Black Hills Dermatology And Laser Surgery Centre

LBN: Black Hills Dermatology Pc
Black Hills Dermatology And Laser Surgery Centre is an health care organization with primary practice located at 7236 Jordan Drive Suite 101 , Rapid City SD 57702-8740. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Black Hills Dermatology Pc can be contacted via phone (605) 341-5565, or through Gorman, Jason W via phone (605) 341-5565.

Contact Information

Primary practice address
7236 Jordan Drive Suite 101 Rapid City SD 57702-8740
Phone: (605) 341-5565
Fax: (605) 341-5595
Website:
Map and Directions
Authorized official contact:
Name: Gorman, Jason W
Phone: (605) 341-5565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0370 South Dakota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 0370 South Dakota
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 0370 South Dakota
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 0370 South Dakota

Profile Details

NPI number 1497727028
LBN Legal business name Black Hills Dermatology Pc
DBA Doing business as Black Hills Dermatology And Laser Surgery Centre
Authorized official Gorman, Jason W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated May 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497727028 NPPES
South Dakota Other 0040885 WELLMARK BCBS NUMBER

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