SD HUMAN SERVICES CENTER (NPI# 1699039685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699039685 |
| Entity Type | Organization |
| Organization Name | SD HUMAN SERVICES CENTER |
| Practice Address |
3515 Broadway Ave Yankton SD 57078 |
| Mailing Address |
Po Box 7600 Yankton SD 57078 |
| Practice Telephone | 6056683110 |
| Practice Fax Number | 6056685407 |
| Mailing Telephone | 6056683110 |
| Mailing Fax Number | 6056685407 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | RONALD MRAZ (ACCOUNTANT) |
| Authorized Official Telephone | 6056683110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
3515 BROADWAY AVE |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027586 | State of South Dakota | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-7600 | 2005-07-19 |
| 1447891973 | Emily Kate Wilken | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2019-10-06 |
| 1740837228 | Lauri A Wolter | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2019-08-20 |
| 1386157709 | James Joseph Fillaus | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2017-11-07 |
| 1922540616 | Barbara De Witt | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2016-11-10 |
| 1346608981 | Karla Walsh | Nurse Practitioner | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2016-02-09 |
| 1740538230 | South Dakota Human Services Center Pharmacy | Psychiatric Hospital | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2012-08-15 |
| 1609023290 | Ashley A. Reiner | Physician Assistant | 3515 Broadway Ave, Yankton, SD 57078-7600 | 2008-08-26 |
| 1750592804 | Roberta Jo Carr | Pharmacist | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2007-05-24 |
| 1346450400 | Laurie Ann Muller | Pharmacist | 3515 Broadway Ave, Yankton, SD 57078-4917 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1629235627 | Black Hills Recovery Center | Substance Abuse Rehabilitation Facility | 1807 Williams St, Sturgis, SD 57785-1142 | 2008-05-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.