BLACK HILLS RECOVERY CENTER (NPI# 1629235627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629235627 |
Entity Type | Organization |
Organization Name | BLACK HILLS RECOVERY CENTER |
Practice Address |
1807 Williams St Sturgis SD 57785-1142 |
Mailing Address |
1807 Williams St Po Box 277 Sturgis SD 57785-1142 |
Practice Telephone | 6053473003 |
Practice Fax Number | 6053474944 |
Mailing Telephone | 6053473003 |
Mailing Fax Number | 6053474944 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2017-04-18 |
Authorized Official Name | MARY WOOD-FOSSEN (DIRECTOR) |
Authorized Official Telephone | 6053473003 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHERN HILLS ALCOHOL AND DRUG SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | ACCREDITATION | SD | Residential Treatment Facilities |
Street Address |
1807 WILLIAMS ST |
City | STURGIS |
State | SD |
Zip Code | 57785-1142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336750280 | Georgia Bissonette | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2020-08-13 |
1417567256 | Jean Marie Earl | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2020-08-06 |
1881228492 | Seth Courtney | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2020-02-24 |
1013559277 | Sara Ellington | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2019-10-09 |
1528619871 | April Benney | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2019-09-26 |
1275181786 | Bonnie Grace Sorzano | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2019-08-28 |
1467011189 | Carly Adams | Case Manager/Care Coordinator | 1807 Williams St, Sturgis, SD 57785-1142 | 2019-06-06 |
1619438546 | Jeanie Marie Montgomery | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2019-03-25 |
1619451812 | Fe Rorie | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2018-09-24 |
1982190351 | Gloria Gurwell | Counselor | 1807 Williams St, Sturgis, SD 57785-1142 | 2018-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
1851784508 | Kara Graveman | Counselor | 1807 Williams St., Sturgis, SD 57785 | 2015-03-05 |
1972674307 | Meade School District 46 1 | Local Education Agency (LEA) | 1230 Douglas St, Sturgis, SD 57785 | 2006-11-09 |
1962571414 | Dakota Hills Family Practice | Durable Medical Equipment & Medical Supplies | 1010 Ballpark Rd Suite 3, Sturgis, SD 57785 | 2006-11-07 |
1639130859 | Jerrid W. Goebel | Chiropractor | 824 1st Street, Sturgis, SD 57785 | 2006-03-29 |
1821092818 | James D Kienitz | Social Worker | 890 Lazelle St, Sturgis, SD 57785 | 2005-06-08 |
1619344405 | Regional Health Network, Inc. | Dietitian, Registered | 2140 Junction Ave, Sturgis, SD 57785 | 2015-08-27 |
1811127822 | Susan Aline Simle | Social Worker | 949 Harmon St, Sturgis, SD 57785 | 2009-07-24 |
1114153772 | Loree Siegfried | Counselor | 2140 Junction Ave, Sturgis, SD 57785 | 2009-06-09 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
1013057330 | Northern Hills Alcohol and Drug Services | Substance Abuse Rehabilitation Facility | 1010 Ballpark Rd, Sturgis, SD 57785-2364 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
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1154979805 | Avera Mckennan | Substance Abuse Rehabilitation Facility | 6140 S Curae Lane, Sioux Falls, SD 57108-3047 | 2019-08-27 |
1306398011 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 3800 S Kiwanis Ave, Sioux Falls, SD 57105-4234 | 2016-10-28 |
1518206051 | Volunteers of America,dakotas | Substance Abuse Rehabilitation Facility | 1310 W 51st St, Sioux Falls, SD 57105-6606 | 2013-02-04 |
1295090082 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 1205 E Saint James St, Rapid City, SD 57701-3958 | 2012-07-09 |
1902057631 | Anpetu Luta Otipi | Substance Abuse Rehabilitation Facility | Bia Hwy 39 No Flesh Road, Box 275, Kyle, SD 57752-0275 | 2008-09-30 |
1225208010 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Substance Abuse Rehabilitation Facility | # 7 Hospital Lane, Rosebud, SD 57570-0348 | 2008-03-07 |
1316167505 | Rosebud Sioux Tribe Piya Mani Otipi | Substance Abuse Rehabilitation Facility | Bristal Ranch Hwy 18, Mission, SD 57555-0428 | 2007-04-27 |
1902937394 | The Glory House of Sioux Falls | Substance Abuse Rehabilitation Facility | 4000 S West Ave, Sioux Falls, SD 57105-6601 | 2007-03-08 |
1194851469 | Pennington County Sheriff's Office | Substance Abuse Rehabilitation Facility | 725 N Lacrosse St, Ste 300, Rapid City, SD 57701-1491 | 2007-02-23 |
1952446411 | Carroll Institute | Substance Abuse Rehabilitation Facility | 310 S 1st Ave, Sioux Falls, SD 57104-6329 | 2007-02-21 |
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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.