VA BLACK HILLS HEALTH CARE SYSTEM (NPI# 1144393182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144393182 |
| Entity Type | Organization |
| Organization Name | VA BLACK HILLS HEALTH CARE SYSTEM |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Practice Telephone | 6057207068 |
| Practice Fax Number | 6053477204 |
| Mailing Telephone | 6057207068 |
| Mailing Fax Number | 6053477204 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARCEL CLAUDE LACOSTE (PSYCHIATRIST) |
| Authorized Official Telephone | 6057207068 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 15800 | PR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICAL DOCTOR | 15800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114398286 | Va Black Hills Health Care System | Community Based Residential Treatment Facility, Mental Illness | 500 N 5th St, Hot Springs, SD 57747-1480 | 2015-10-14 |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| 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 |
|---|---|---|---|---|
| 1003073917 | Dept of Veteran Affairs | Psychiatric Hospital | 2501 W 22nd St Sf Va Medical Center, 116a, Sioux Falls, SD 57117 | 2008-05-19 |
| 1972645992 | Betty Ann Hulse | Psychiatric Hospital | 3515 Broadway Ave., Yankton, SD 57078-7600 | 2007-02-13 |
| 1124027586 | State of South Dakota | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-7600 | 2005-07-19 |
| 1740538230 | South Dakota Human Services Center Pharmacy | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2012-08-15 |
| 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 |
| City | FORT MEADE |
| Zip Code | 57741 |
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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.