Provider Demographics
NPI:1538233549
Name:WINNER REGIONAL HEALTHCARE CENTER
Entity type:Organization
Organization Name:WINNER REGIONAL HEALTHCARE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ATTEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-842-7212
Mailing Address - Street 1:745 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2677
Mailing Address - Country:US
Mailing Address - Phone:605-842-7100
Mailing Address - Fax:605-842-7211
Practice Address - Street 1:745 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-2677
Practice Address - Country:US
Practice Address - Phone:605-842-7100
Practice Address - Fax:605-842-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD51775282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN682667900Medicaid
SD5500430Medicaid
SD0100430Medicaid
SD1538233549Medicaid
SD51775OtherSD STATE LICENSE
SD80043OtherWELLMARK BCBS
AZ429680Medicaid
SD0100430Medicaid