McCrossan Boys Ranch

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

97333 Issued in SD

Legal business name

MCCROSSAN BOYS RANCH

Practice address

47135 260TH St
Sioux Falls, SD 57107-6428

Phone

(605) 339-1203

Fax

(605) 339-3144

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Darla K Krueger

Title

Business Manager

Phone

(605) 339-1203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407988108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47135 260TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571076428",
            "telephone_number": "605-339-1203",
            "fax_number": "605-339-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47135 260TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571076428",
            "telephone_number": "605-339-1203",
            "fax_number": "605-339-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCROSSAN BOYS RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-339-1203"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "97333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly McCoy, RN
• Randall Allen McCoy, PHARMD
• Robert George McCoy, DC
• Rachel Anne McCracken, MB. CHB.
• Katherine McCrary, RBT
• Catherine Michelle McCulley, CNP
• Marsha McCulloch, R.D., L.D.
• Jacie McCune, RBT
• Tiffany Rae McCurdy, RDCS
• Andrew McDade

• Emotionally Disturbed Childrens' Residential Treatment Facility in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.