STATE OF SOUTH DAKOTA (NPI# 1124027586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124027586 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH DAKOTA |
| Other Organization Name | SD HUMAN SERVICES CENTER |
| Practice Address |
3515 Broadway Ave Yankton SD 57078-7600 |
| Mailing Address |
Po Box 7600 Yankton SD 57078-7600 |
| Practice Telephone | 6056683148 |
| Practice Fax Number | 6056685407 |
| Mailing Telephone | 6056683148 |
| Mailing Fax Number | 6056685407 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | MR. DAVID GEISE (BUSINESS MANAGER) |
| Authorized Official Telephone | 6056683148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 10577 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0240070 | 05 |
| Other Name | Type Code |
|---|---|
| SD Human Services Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497871933 | State of South Dakota | Audiologist | 520 S 1st Ave, Sioux Falls, SD 57104-6902 | 2007-03-22 |
| 1124177100 | State of South Dakota | Pharmacy | N Campus Dr, Sdsu Wellness Center Room 119, Brookings, SD 57007-0001 | 2007-01-09 |
| 1346366044 | State of South Dakota | Speech-Language Pathologist | 414 E Clark St, Vermillion, SD 57069-2307 | 2007-03-22 |
| Street Address |
3515 BROADWAY AVE |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447891973 | Emily Kate Wilken | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2019-10-06 |
| 1740837228 | Lauri A Wolter | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2019-08-20 |
| 1386157709 | James Joseph Fillaus | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2017-11-07 |
| 1922540616 | Barbara De Witt | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2016-11-10 |
| 1346608981 | Karla Walsh | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2016-02-09 |
| 1740538230 | South Dakota Human Services Center Pharmacy | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2012-08-15 |
| 1699039685 | Sd Human Services Center | Substance Abuse Rehabilitation Facility | 3515 Broadway Ave, Yankton, SD 57078 | 2012-06-25 |
| 1609023290 | Ashley A. Reiner | Physician Assistant | 3515 Broadway Ave, Yankton, SD 57078-7600 | 2008-08-26 |
| 1750592804 | Roberta Jo Carr | Pharmacist | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2007-05-24 |
| 1346450400 | Laurie Ann Muller | Pharmacist | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972645992 | Betty Ann Hulse | Psychiatric Hospital | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2007-02-13 |
| 1740538230 | South Dakota Human Services Center Pharmacy | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003073917 | Dept of Veteran Affairs | Psychiatric Hospital | 2501 W 22nd St Sf Va Medical Center, 116a, Sioux Falls, SD 57117 | 2008-05-19 |
| 1144393182 | Va Black Hills Health Care System | Psychiatric Hospital | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-11-16 |
| 1790860260 | Sioiux Falls Va | Psychiatric Hospital | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2006-10-25 |
| 1003867029 | Avera St Lukes | Psychiatric Hospital | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
Please comment or provide details below to improve the information on STATE OF SOUTH DAKOTA.
| 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.