BLACK HILLS DIALYSIS, LLC
NPI 1710087713
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pine Ridge, SD

Active since September 22, 2006CLIA 43D0998669 · Waiver
4/5
Overall Rating
100 DIALYSIS DRIVE, PINE RIDGE, SD 57770(605) 867-5983(605) 867-6153 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Hills Dialysis, Llc NPPES

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

BLACK HILLS DIALYSIS, LLC (NPI 1710087713) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pine Ridge, South Dakota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Louis C. Raymond, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710087713
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBLACK HILLS DIALYSIS, LLC
Location Address100 DIALYSIS DRIVEPine Ridge, SD 57770-3013
Mailing Address801 Mt. Rushmore Road, Suite 202Rapid City, SD 57701-3541 · (605) 718-0391 · Fax (605) 718-0392
Fax(605) 867-6153
Organization SubpartNo
Authorized OfficialLouis C. RaymondMedical Director · (605) 390-2929
Enumeration DateSeptember 22, 2006
Last NPPES UpdateNovember 7, 2014
NPI 1710087713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
100 DIALYSIS DRIVE, Pine Ridge, SD 57770

Other Identifiers 3

Medicare UPINE03360
Medicaid5400380SD
Medicare OSCAR/certification432508

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 43D0998669

Black Hills Dialysis Systems LLC Pine Ridge · Pine Ridge, SD
Active · expires Apr 21, 2028
CLIA Number43D0998669
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorBetty Cox
Laboratory Phone(605) 867-5983
Laboratory LocationBlack Hills Dialysis Systems LLC Pine Ridge100 Dialysis Drive Post Office Box 3013, Pine Ridge, SD 57770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Black Hills Dialysis - Pine Ridge (CMS certification number 432508), from CMS Care Compare.

Black Hills Dialysis - Pine Ridge

Dialysis facility · Pine Ridge, SD
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number432508
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceMarch 5, 2002
Location100 DIALYSIS DRIVE PO BOX 3013Pine Ridge, SD 57770 · Oglala Lakota County
Services Offered
In-center hemodialysis

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 Black Hills Dialysis, LLC's NPI number?

The NPI number for Black Hills Dialysis, LLC is 1710087713. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Black Hills Dialysis, LLC located?

Black Hills Dialysis, LLC is located at 100 Dialysis Drive, Pine Ridge, SD 57770. The listed phone number is (605) 867-5983.

What is Black Hills Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Black Hills Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0998669) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Black Hills Dialysis, LLC a Medicare-certified dialysis facility?

Yes. Black Hills Dialysis - Pine Ridge is a Medicare-certified dialysis facility, certified since March 5, 2002.

What quality rating does Black Hills Dialysis, LLC have?

CMS rates Black Hills Dialysis - Pine Ridge 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Black Hills Dialysis, LLC was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.