BOWLING GREEN INN OF SOUTH DAKOTA


Address: 1010 E 2nd St, Canton, SD 57013-1905
Phone: 8009921921

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 10504 SD Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SD 5000020 05

Other Provider/Organization Names

Other Name Type Code
Keystone Treatment Center Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities BOWLING GREEN INN OF SOUTH DAKOTA INC. 6100 Tower Cir Ste 1000, Franklin, Tennessee 37067-1509

Office Location

Street Address 1010 E 2ND ST
City CANTON
State SD
Zip Code 57013-1905

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City CANTON
Zip Code 57013

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Dataset Information

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.

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