Northern Hills Alcohol and Drug Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NORTHERN HILLS ALCOHOL AND DRUG SERVICES

Practice address

1010 Ballpark Rd
Sturgis, SD 57785-2364

Phone

(605) 347-3003

Fax

(605) 347-4944

NPI assigned

Feb 7, 2007

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Katherine Wood-Fossen, BS CCDC III

Title

Executive Director

Phone

(605) 347-3003

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Black Hills Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Black Hills Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Sturgis, SD
  • NPI 1629235627
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Black Hills Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Sturgis, SD
  • NPI 1629235627
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1013057330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 WILLIAMS ST",
            "address_2": "PO BOX 277",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851142",
            "telephone_number": "605-347-3003",
            "fax_number": "605-347-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BALLPARK RD",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852364",
            "telephone_number": "605-347-3003",
            "fax_number": "605-347-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HILLS ALCOHOL AND DRUG SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "WOOD-FOSSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-347-3003",
        "authorized_official_credential": "BS CCDC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50003110",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50003112",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Morrison
• Mandi Mosher, MSW
• Motac Inc. Dba Key City Retirement Home
• Mountain Flower Retirement Home LLC (April and Jeramie Huntley)
• Joy Anna Mueller, M.D.
• Northern Hills Eye Care, Prof. L.L.C. (Northern Hills Eye Care)
• Jennifer Lynn Oedekoven, RN
• Alenda Lura Overland, RPT
• Brian R Owen, FNP-C
• Robin Pearce, BS, ACT

• Substance Abuse Rehabilitation Facility in Sturgis, SD
• Providers in Sturgis, SD by specialty
• Substance Abuse Rehabilitation Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.