Black Hills Dialysis, LLC
NPI #1710087713 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1710087713
- Entity Type
- Organization
- Organization Name
- Black Hills Dialysis, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Nov 7, 2014
Practice Location
- Address
- 100 DIALYSIS DRIVE
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770-3013
- Phone
- (605) 867-5983
Authorized Official
- Name
- DR. LOUIS C. RAYMOND, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (605) 390-2929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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