VA BLACK HILLS HEALTH CARE SYSTEM (NPI# 1114398286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114398286 |
| Entity Type | Organization |
| Organization Name | VA BLACK HILLS HEALTH CARE SYSTEM |
| Practice Address |
500 N 5th St Hot Springs SD 57747-1480 |
| Practice Telephone | 6057452000 |
| Mailing Telephone | 6057452000 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | MS. SANDRA HORSMAN (DIRECTOR) |
| Authorized Official Telephone | 6057207170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 57080 | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144393182 | Va Black Hills Health Care System | Psychiatric Hospital | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-11-16 |
| Street Address |
500 N 5TH ST |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365639 | Lori Vosika | Social Worker | 500 N 5th St, Vamc Mhs - 3, Hot Springs, SD 57747-1480 | 2006-02-16 |
| 1952911349 | Marissa Lee Fidler | Physician Assistant | 500 N 5th St, Hot Springs, SD 57747-1480 | 2020-07-31 |
| 1073140273 | Margaret Anable | Counselor | 500 N 5th St, Hot Springs, SD 57747-1480 | 2020-03-26 |
| 1134772908 | Spring Moore | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-07-22 |
| 1104485572 | Mercedes Adeline Harrison | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-06-10 |
| 1396302709 | Anthony Stephen Mastroianni | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-21 |
| 1790340230 | Lanette M Francis | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-09 |
| 1366007668 | Holly Cotton | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-02 |
| 1760974034 | Jaime Lynn Cantu | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-06-03 |
| 1124510771 | Cassie M Schmidt | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255545729 | Small Group Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3875 Spring Street, Hot Springs, AR 71901-3407 | 2007-05-10 |
| 1821210386 | Small Group Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 320 Whittington Avenue, Hot Springs, AR 71901 | 2007-05-03 |
| City | HOT SPRINGS |
| Zip Code | 57747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.