| Southern Plains Behavioral Health Services Inc | |
|
500 E 9th Street Winner SD 57580 | |
| (605) 842-1465 | |
| (605) 842-2366 |
| Full Name | Southern Plains Behavioral Health Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 E 9th Street, Winner, South Dakota |
| Authorized Official Name and Position | Sandra Ellen Fortuna (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6058421465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Plains Behavioral Health Services Inc 500 E 9th Street Winner SD 57580 Ph: (605) 842-1465 | Southern Plains Behavioral Health Services Inc 500 E 9th Street Winner SD 57580 Ph: (605) 842-1465 |
| NPI Number | 1043350440 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043350440 | NPI | - | NPPES |
| 5200120 | Medicaid | SD | |
| 5256120 | Medicaid | SD | |
| 0069989 | Other | SD | BLUE CROSS BLUE SHIELD |
| 9176024 | Other | SD | DAKOTA CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Dakota) | Primary |
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