BLACK HILLS URGENT CARE, LLC
NPI 1306295217
Clinic/Center - Urgent Care in Spearfish, SD

NPI Status: Active since June 10, 2016

Contact Information

120 E MICHIGAN ST
SPEARFISH, SD
ZIP 57783
Phone: (605) 722-7777
Fax: (605) 791-7704

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 43D0993471
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-24-2026

About BLACK HILLS URGENT CARE, LLC

This page provides the complete NPI Profile along with additional information for Black Hills Urgent Care, Llc, a provider established in Spearfish, South Dakota operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1306295217 assigned on June 2016. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Black Hills Urgent Care, Llc. The authorized official of this NPI record is Mr. Jack J. Kaup Cfo (Cfo)

NPI
1306295217
Provider Legal Name
BLACK HILLS SURGICAL HOSPITAL, LLP
Other Organization Name
BLACK HILLS URGENT CARE, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
120 E MICHIGAN ST SPEARFISH, SD 57783
Location Phone
(605) 722-7777
Location Fax
(605) 791-7704
Mailing Address
PO BOX 817 RAPID CITY, SD 57709
Mailing Phone
(605) 722-7777
Mailing Fax
(605) 791-7704
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-10-2016
Last Update Date
06-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JACK J. KAUP CFO

Authorized Official Title
CFO
Authorized Official Phone
(605) 721-4918

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D0993471
Facility Type
Physician Office
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
VASSILIA D. YOUNG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Black Hills Urgent Care, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306295217
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306491022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 4 + 9 + 1 + 0 + 2 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1306295217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366482135 CHRISTI CHILDERS DO
Individual
Family Medicine120 E MICHIGAN ST SUITE 200
SPEARFISH, SD 57783
(605) 559-3201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306295217, enumerated in the NPI registry as an "organization" on June 10, 2016

The provider is located at 120 E Michigan St Spearfish, Sd 57783 and the phone number is (605) 722-7777

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 43D0993471 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 10, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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