Provider Demographics
NPI:1992850952
Name:BLACK HILLS WORKS INC
Entity Type:Organization
Organization Name:BLACK HILLS WORKS INC
Other - Org Name:BLACK HILLS WORKSHOP AND TRAINING CENTER INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAATHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-343-4550
Mailing Address - Street 1:3650 RANGE RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-0627
Mailing Address - Country:US
Mailing Address - Phone:605-343-4550
Mailing Address - Fax:
Practice Address - Street 1:3650 RANGE RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-0627
Practice Address - Country:US
Practice Address - Phone:605-343-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services