NPIMap

Organization Active NPI

Southern Plains Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Winner, SD
National Provider Identifier
1043350440
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES INC
Practice address
500 E 9TH Street
Winner, SD 57580
Phone
(605) 842-1465
Fax
(605) 842-2366
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Sandra Ellen Fortuna, MSWNPI 1023216132
Title
Executive Director
Phone
(605) 842-1465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SD Primary

Addresses

Primary practice location

500 E 9TH Street
Winner, SD 57580

Mailing address

500 E 9TH Street
Winner, SD 57580
Phone (605) 842-1465

Other identifiers 4

IdentifierTypeStateIssuer
5200120MedicaidSD
5256120MedicaidSD
0069989OtherSDBLUE CROSS BLUE SHIELD
9176024OtherSDDAKOTA CARE

National Provider Directory

National Provider Directory

Locations

500 E 9th St
Winner, SD 57580
Phone (605) 842-1465

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1043350440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 9TH STREET",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "57580",
            "telephone_number": "605-842-1465",
            "fax_number": "605-842-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 9TH STREET",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "57580",
            "telephone_number": "605-842-1465",
            "fax_number": "605-842-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-842-1465",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200120",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5256120",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0069989",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9176024",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.