STATE TREATMENT AND REHABILITATION ACADEMY (NPI# 1740473115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740473115 |
| Entity Type | Organization |
| Organization Name | STATE TREATMENT AND REHABILITATION ACADEMY |
| Practice Address |
25292 Badger Clark Rd Custer SD 57730-8244 |
| Mailing Address |
12279 Brady Dr Custer SD 57730-9160 |
| Practice Telephone | 6052554937 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | CHARLES GILSON (DIRECTOR) |
| Authorized Official Telephone | 6056732521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5160390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205028131 | State Treatment and Rehabilitation Academy | Substance Abuse Rehabilitation Facility | 25298 Badger Clark Rd, Custer, SD 57730-8244 | 2007-08-14 |
| Street Address |
25292 BADGER CLARK RD |
| City | CUSTER |
| State | SD |
| Zip Code | 57730-8244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275326 | Heidi Sahling | Counselor | 124 6th Street, Custer, SD 57730 | 2015-05-29 |
| 1275623134 | Custer Ambulance Service Inc | Ambulance | 30 S 3rd St, Custer, SD 57730 | 2006-10-13 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| 1760483713 | Regional Health Network Inc | Assisted Living Facility | 423 N 10 St, Custer, SD 57730 | 2005-08-02 |
| 1578019436 | Carey Daunt | Physical Therapist | 1041 Montgomery St, Custer Regional Hospital, Custer, SD 57730 | 2016-08-31 |
| 1972985224 | Christopher James Wenger | Family Medicine | 1220 Montgomery St, Custer, SD 57730 | 2015-06-23 |
| 1689760399 | Sandra Lee Conard | Chiropractor | 246 N 5th St, Custer, SD 57730 | 2006-10-04 |
| 1912014499 | Joleen E Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-08-23 |
| 1831161413 | Lisa B Brown | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-02-07 |
| Find all providers in zip 57730 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205028131 | State Treatment and Rehabilitation Academy | Substance Abuse Rehabilitation Facility | 25298 Badger Clark Rd, Custer, SD 57730-8244 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770872244 | Aberdeen Area Youth Regional Treatment Center | Substance Abuse Rehabilitation Facility | 12451 Highway 1806, Mobridge, SD 57601-0680 | 2011-04-05 |
| 1124241682 | Eugene R Regier | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2007-04-11 |
Please comment or provide details below to improve the information on STATE TREATMENT AND REHABILITATION ACADEMY.
| 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.