NPIMap

Organization Active NPI

Winner Regional Healthcare Center

  • Rural Health Clinic/Center
  • Winner, SD
National Provider Identifier
1649550401
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WINNER REGIONAL HEALTHCARE CENTER
Practice address
745 E 8TH St
Winner, SD 57580-2677
Phone
(605) 842-2626
Fax
(605) 842-3557
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Lucy H Atteberry
Title
Executive Assistant
Phone
(605) 842-7212

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

745 E 8TH St
Winner, SD 57580-2677

Mailing address

745 E 8TH St
Winner, SD 57580-2677
Phone (605) 842-2626

Other identifiers 2

IdentifierTypeStateIssuer
1790367340MedicaidSD
1649550401MedicaidSD

Other names 1

  • Winner Rural Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000890 SD Part B Supplier - Clinic/Group Practice 5597663963 Receives reassigned benefits from 46 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winner, SD
O20120216000482 SD Part A Provider - Rural Health Clinic 5597663963 Practice locations: Winner, SD

Rural health clinic certification: CCN 438501

Legal name
WINNER REGIONAL HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 25, 2012
Last certification
Apr 24, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1961 in SD
Enrollment address
745 E 8TH St
Winner, SD 57580-2677
Related CCNs
431334

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

245 S Main St
Ofc 1
Winner, SD 57580

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sara Christine Petersek Individual Corporate DirectorBoard Member Jan 1, 2021 11.11%
Mari Chambers Individual Corporate OfficerCfo Nov 1, 2025 100%
Kim Vanneman Individual Corporate DirectorBoard Member Sep 1, 2015 11.11%
Brian Williams Individual Operational/Managerial ControlCeo Jun 1, 2023 100%
Dave Nicholas Individual Corporate Director May 1, 2025 11.11%
Roger Kingsbury Individual Corporate DirectorBoard Member Sep 1, 2016 11.11%
Rhonda Schroeder Individual W-2 Managing EmployeeBusiness Office Manager Jul 11, 2016
Sara Hammerbeck Individual Corporate DirectorGoverning Board Member May 1, 2022 11.11%
Nielsen H Burns Individual Contracted Managing EmployeeMD; Nov 1, 2024
Dione R Rowe Individual Corporate DirectorBoard Member Apr 1, 2020 11.11%
Lucy H Atteberry Individual W-2 Managing EmployeeCredential and Enrollment Spec. Oct 21, 2020
Casey Heenan Individual Corporate DirectorBoard Member Jan 1, 2019 11.11%
Cody Haiar Individual Corporate Director May 1, 2024 11.11%
Betsy Pravecek Individual Corporate DirectorBoard Member Sep 1, 2014 11.11%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1649550401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E 8TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802677",
            "telephone_number": "605-842-2626",
            "fax_number": "605-842-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E 8TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802677",
            "telephone_number": "605-842-2626",
            "fax_number": "605-842-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER REGIONAL HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "ATTEBERRY",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "605-842-7212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790367340",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649550401",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winner Rural Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.