BLACK HILLS SPECIAL SERVICES COOPERATIVE — NPI 1700035136 (Licensed & Credentialed Case Manager/Care Coordinator in PIERRE, SD)

CMS-1500 Box 24J / 33a • NPI

1700035136

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

221 S CENTRAL AVE, PIERRE, SD, 57501-2479

✓ 9-Digit EDI 837 ZIP+4 (57501-2479)

Practice Phone & Referral Fax

(605) 224-5336

Fax: (605) 224-8320

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700035136 (BLACK HILLS SPECIAL SERVICES COOPERATIVE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700035136` (NPI-2 Organization / Facility)
Provider / Legal Name	BLACK HILLS SPECIAL SERVICES COOPERATIVE
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	221 S CENTRAL AVE, PIERRE, SD, 57501-2479
Practice Telephone / Fax	Tel: (605) 224-5336 \| Fax: (605) 224-8320
Administrative Mailing Address	221 S CENTRAL AVE, PIERRE, SD, 57501-2479
Enumeration & Last Sync	Enumerated: 2008-09-10 \| CMS Record Updated: 2008-09-10
Authorized Official	BROOKE LUSK (Program Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

221 S CENTRAL AVE, PIERRE, SD, 57501-2479

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLACK HILLS SPECIAL SERVICES COOPERATIVE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BLACK HILLS SPECIAL SERVICES COOPERATIVE (NPI #1700035136)