CHAMBERLAIN ACADEMY (NPI# 1619010543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619010543 |
| Entity Type | Organization |
| Organization Name | CHAMBERLAIN ACADEMY |
| Practice Address |
211 W 16th Ave Chamberlain SD 57325-0367 |
| Mailing Address |
211 W 16th Ave Po Box 367 Chamberlain SD 57325-0367 |
| Practice Telephone | 6052345525 |
| Practice Fax Number | 6052346889 |
| Mailing Telephone | 6052345525 |
| Mailing Fax Number | 6052346889 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MIKE SCHREIBER (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 6052345525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | R 105 | SD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5160750 | 05 |
| Street Address |
211 W 16TH AVE |
| City | CHAMBERLAIN |
| State | SD |
| Zip Code | 57325-0367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409887 | Angelia Frederick | Registered Nurse | 100 Sioux Drive, Chamberlain, SD 57325 | 2016-11-17 |
| 1689837726 | St Josephs Indian School | Psychologist | 1301 N Main Ave, Chamberlain, SD 57325 | 2008-07-09 |
| 1134210180 | Missouri Valley Ambulance Service | Ambulance | 306 N. Courtland St., Chamberlain, SD 57325 | 2006-09-27 |
| 1013017227 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 110 Beebe St, Ste 1, Chamberlain, SD 57325 | 2006-09-25 |
| 1194773622 | Cynthia L Davis | Obstetrics & Gynecology | 300 S Byron Blvd, Chamberlain, SD 57325 | 2006-05-05 |
| 1386611697 | Tyler Joe Hammell | Chiropractor | 303 N Main St, Chamberlain, SD 57325 | 2006-03-06 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1184062234 | Sara Kay Klein | Nurse Practitioner | 101 South Front St., Chamberlain, SD 57325-0027 | 2013-06-11 |
| 1134139215 | Avera Mckennan | Family Medicine | 101 S Front Street, Chamberlain, SD 57325-0027 | 2006-08-09 |
| 1528071297 | Rural Health Care, Inc | Clinic/Center | 116 Main Street, Presho, SD 57325-0027 | 2006-08-14 |
| Find all providers in zip 57325 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407988108 | Mccrossan Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 47135 260th St, Sioux Falls, SD 57107-6428 | 2007-03-09 |
| 1144358433 | Sky Ranch for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 100 Sky Ranch Ln, Sky Ranch, SD 57724-9401 | 2007-03-01 |
| 1013058718 | Our Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 334 3rd St Sw, Huron, SD 57350-2418 | 2007-02-08 |
| 1235281635 | Aurora Plains Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1400 East 10th St., Plankinton, SD 57368-2033 | 2007-01-17 |
| 1184785222 | Plankinton School District 1 1 | Residential Treatment Facility, Emotionally Disturbed Children | 404 East Davenport, Plankinton School District 1 1, Plankinton, SD 57368-0190 | 2006-12-13 |
| 1427210335 | Lutheran Social Services of South Dakota | Residential Treatment Facility, Emotionally Disturbed Children | 621 E Presentation St, Sioux Falls, SD 57104-0820 | 2008-07-01 |
| 1003942095 | Aurora Plains Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1400 E 10th St, Plankinton, SD 57368-2033 | 2007-02-26 |
| 1194885723 | Lutheran Social Services of South Dakota Inc | Residential Treatment Facility, Emotionally Disturbed Children | 705 E 41st St, Suite 200, Sioux Falls, SD 57105-6053 | 2006-12-12 |
| City | CHAMBERLAIN |
| Zip Code | 57325 |
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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.