DAVID M. DORSETT HEALTHCARE CENTER
NPI 1174555858
Skilled Nursing Facility in Spearfish, SD

Active since July 06, 2006CLIA 43D0906414 · Waiver
1020 NORTH 10TH STREET, SPEARFISH, SD 57783(605) 642-2716(605) 722-0757 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David M. Dorsett Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID M. DORSETT HEALTHCARE CENTER (NPI 1174555858) is a healthcare organization registered as a skilled nursing facility in Spearfish, South Dakota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Thomas E. Boerboom, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1174555858
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSPEARFISH HEALTHCARE, LLC
Location Address1020 NORTH 10TH STREETSpearfish, SD 57783-2203
Mailing Address1020 North 10th StreetSpearfish, SD 57783-2203 · (605) 642-2716 · Fax (605) 722-0757
Fax(605) 722-0757
Organization SubpartYesParent: Mission Healthcare, Llc
Authorized OfficialThomas E. BoerboomChief Operating Officer · (952) 873-7907
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 14, 2011
NPI 1174555858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SD · 10686
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1020 NORTH 10TH STREET, Spearfish, SD 57783

Other Names 1

Doing Business AsDavid M. Dorsett Healthcare Center

Other Identifiers 3

Medicaid0150412SD
Other85043SD · Wellmark
Medicare OSCAR/certification435043SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0906414

Spearfish Canyon Healthcare · Spearfish, SD
Active · expires Oct 1, 2027
CLIA Number43D0906414
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorSara Hofmann
Laboratory Phone(605) 642-2716
Laboratory LocationSpearfish Canyon Healthcare1020 Tenth Street, Spearfish, SD 57783
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spearfish Healthcare, LLC's NPI number?

The NPI number for Spearfish Healthcare, LLC is 1174555858. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as David M. Dorsett Healthcare Center.

Where is Spearfish Healthcare, LLC located?

Spearfish Healthcare, LLC is located at 1020 North 10th Street, Spearfish, SD 57783. The listed phone number is (605) 642-2716.

What is Spearfish Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Spearfish Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0906414) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spearfish Healthcare, LLC was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.