BLACK HILLS SURGICAL HOSPITAL, LLC
NPI 1336009646
Clinic/Center - Urgent Care in Rapid City, SD

NPI Status: Active since November 18, 2025

Contact Information

1730 HAINES AVE
RAPID CITY, SD
ZIP 57701
Phone: (605) 791-7788

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 53D0922000
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 11-11-2026

About BLACK HILLS SURGICAL HOSPITAL, LLC

This page provides the complete NPI Profile along with additional information for Black Hills Surgical Hospital, Llc, a provider established in Rapid City, South Dakota operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1336009646 assigned on November 2025. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Tony Lee Morrison (Vp, Chief Revenue Cycle Officer)

NPI
1336009646
Provider Name
BLACK HILLS SURGICAL HOSPITAL, LLC
Entity Type
Organization
Location Address
1730 HAINES AVE RAPID CITY, SD 57701
Location Phone
(605) 791-7788
Mailing Address
PO BOX 817 RAPID CITY, SD 57709
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2025
Last Update Date
04-20-2026
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Location Map

Secondary Locations

  • 1124 Washington Blvd
    Newcastle, WY 82701
    (307) 686-8283
  • 2201 S Douglas Hwy Ste 120
    Gillette, WY 82718
    (605) 341-1414
  • 467 W Lott St
    Buffalo, WY 82834
    (605) 721-4700
  • 1301 Avon St Ste A
    Sheridan, WY 82801
    (605) 341-1414
  • 825 Centennial Dr
    Chadron, NE 69337
    (307) 670-9150

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

TONY LEE MORRISON

Authorized Official Title
VP, CHIEF REVENUE CYCLE OFFICER
Authorized Official Phone
(605) 328-8380

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
53D0922000
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 12, 2024
Certificate Expiration Date
November 11, 2026
Laboratory Director
MONICA MORMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Black Hills Surgical Hospital, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336009646, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 0 + 0 + 1 + 8 + 6 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1336009646.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
1730 HAINES AVE
RAPID CITY, SD 57701
Physician Assistant
1730 HAINES AVE
RAPID CITY, SD 57701
Nurse Practitioner (Family)
1730 HAINES AVE
RAPID CITY, SD 57701
Physician Assistant
1730 HAINES AVE
RAPID CITY, SD 57701
Nurse Practitioner (Family)
1730 HAINES AVE
RAPID CITY, SD 57701
Physician Assistant
1730 HAINES AVE
RAPID CITY, SD 57701
Clinic/Center (Urgent Care)
1730 HAINES AVE
RAPID CITY, SD 57701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336009646, enumerated as an "organization" on November 18, 2025.

The provider is located at 1730 HAINES AVE RAPID CITY, SD 57701 and the phone number is (605) 791-7788.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.