BOWLING GREEN INN OF SOUTH DAKOTA (NPI# 1104885649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104885649 |
| Entity Type | Organization |
| Organization Name | BOWLING GREEN INN OF SOUTH DAKOTA |
| Other Organization Name | KEYSTONE TREATMENT CENTER |
| Practice Address |
1010 E 2nd St Canton SD 57013-1905 |
| Mailing Address |
1010 E 2nd St P.o. Box 159 Canton SD 57013-1905 |
| Practice Telephone | 8009921921 |
| Practice Fax Number | 6059872365 |
| Mailing Telephone | 8009921921 |
| Mailing Fax Number | 6059872365 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | CAROL A REGIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8009921921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 10504 | SD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5000020 | 05 |
| Other Name | Type Code |
|---|---|
| Keystone Treatment Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398011 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 3800 S Kiwanis Ave, Sioux Falls, SD 57105-4234 | 2016-10-28 |
| 1154677896 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2012-07-31 |
| Street Address |
1010 E 2ND ST |
| City | CANTON |
| State | SD |
| Zip Code | 57013-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154677896 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2012-07-31 |
| 1124241682 | Eugene R Regier | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2007-04-11 |
| 1659425254 | Robert Ronald Perkinson | Psychologist | 1010 E 2nd St, Canton, SD 57013-1905 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275687741 | Melissa Brandner | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1699841064 | Canton School District | Local Education Agency (LEA) | 800 N Main, Canton, SD 57013 | 2006-11-28 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1669440434 | Chad Lane Tieszen | Chiropractor | 128 N Dakota St, Canton, SD 57013 | 2006-03-09 |
| 1245780717 | Chanesse Schaefer | Physician Assistant | 400 N Hiawatha Dr, Canton, SD 57013 | 2016-10-09 |
| 1497955769 | Amy M Olderbak | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013 | 2007-07-24 |
| 1245384718 | Gordon Schulte | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1134273600 | Dr. Gordon D Schulte PC | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1578544482 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1022 N Dakota St, Canton, SD 57013-1004 | 2005-11-08 |
| 1093294787 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 1022 N Dakota St, Canton, SD 57013-1004 | 2018-08-13 |
| Find all providers in zip 57013 | ||||
| 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 |
|---|---|---|---|---|
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1275069502 | Kurt Davey | Substance Abuse Rehabilitation Facility | 43419 W Arbor Way Dr, Unit 190, Canton, MI 48188-4809 | 2017-05-05 |
| 1346584984 | Quest Recovery and Prevention Services | Substance Abuse Rehabilitation Facility | 1711 Spring Avenue Nw, Canton, OH 44714 | 2012-11-20 |
| 1922320894 | Sarah Jane Chew | Substance Abuse Rehabilitation Facility | 8142 Honeytree Blvd, Canton, MI 48187-4109 | 2010-02-19 |
| 1225173263 | Sundown Ranch, Inc. | Substance Abuse Rehabilitation Facility | 3120 Vzcr 2318, Canton, TX 75103 | 2007-02-20 |
| 1710936901 | Quest Recovery and Prevention Services | Substance Abuse Rehabilitation Facility | 1711 Spring Ave Ne, Canton, OH 44714-2349 | 2006-05-08 |
| 1891332193 | Bedrock Rehab, LLC | Substance Abuse Rehabilitation Facility | 1 Meadowbrook Way, Canton, MA 02021-2496 | 2019-12-05 |
| 1821536723 | Angela Lynn Stewart | Substance Abuse Rehabilitation Facility | 43825 Michigan Ave, Canton, MI 48188-2551 | 2017-02-10 |
| 1154677896 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2012-07-31 |
| 1982961116 | Donna A Hatcher | Substance Abuse Rehabilitation Facility | 1711 Spring Ave Ne, Canton, OH 44714-2349 | 2012-04-12 |
| Find all providers in CANTON | ||||
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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.