NPIMap

Organization Active NPI

Winner Regional Healthcare Center

  • Skilled Nursing Facility
  • Winner, SD
National Provider Identifier
1659447563
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
51775 Issued in SD
Legal business name
WINNER REGIONAL HEALTHCARE CENTER
Practice address
745 E 8TH St
Winner, SD 57580-2677
Phone
(605) 842-7100
NPI assigned
Nov 24, 2006
Last updated
Feb 17, 2025By the provider in NPPES
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
Mr. Brian Williams
Title
Ceo
Phone
(605) 842-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 51775 SD Primary

Addresses

Primary practice location

745 E 8TH St
Winner, SD 57580-2677

Mailing address

745 E 8TH St
Winner, SD 57580-2677
Phone (605) 842-7100

Other identifiers 3

IdentifierTypeStateIssuer
1659447563MedicaidSD
0159130MedicaidSD
8U043OtherSDWELLMARK BCBS

Other names 1

  • Winner Regional Health - CAH - Swing Bed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000233 SD Part A Provider - Critical Access Hospital 5597663963 Practice locations: Winner, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659447563. Details of each certification follow.

Hospital certification: CCN 43Z334

Legal name
WINNER REGIONAL HEALTHCARE CENTER
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1961 in SD
Enrollment address
745 E 8TH St
Winner, SD 57580-2677

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).

National Provider Directory

National Provider Directory
Tax ID family
Baptist Hospital Eeg6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

245 S Main St
Ofc 1
Winner, SD 57580

Ownership & related parties

All disclosed owners & managing parties 13

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 DirectorGoverning Board Member Jan 1, 2021 12.5%
Amanda Soesbe Individual Operational/Managerial ControlCfo Jul 27, 2020
Anora D Henderson Individual OtherChief of Medical Staff Jan 1, 2024
Kim Vanneman Individual Corporate DirectorGoverning Board Member Sep 1, 2015 12.5%
Brian Williams Individual Operational/Managerial ControlCeo Jun 1, 2023 100%
Roger Kingsbury Individual Corporate DirectorGoverning Board Member Sep 1, 2016 12.5%
Rhonda Schroeder Individual W-2 Managing EmployeeBusiness Office Manager Jul 11, 2016
Sara Hammerbeck Individual Corporate DirectorGoverning Board Member Jan 1, 2022 12.5%
Dione R Rowe Individual Corporate DirectorGoverning Board Member Apr 1, 2020 12.5%
Lucy H Atteberry Individual W-2 Managing EmployeeExecutive Assistant Oct 20, 2020
Casey Heenan Individual Corporate DirectorGoverning Board Member Jan 1, 2019 12.5%
Cody Haiar Individual Corporate DirectorGoverning Board Member Jun 1, 2024 12.5%
Betsy Pravecek Individual Corporate DirectorGoverning Board Member Sep 1, 2014 12.5%

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 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1659447563",
    "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": "605-842-7100"
        },
        {
            "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": "605-842-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER REGIONAL HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-842-7299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "51775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659447563",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159130",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "8U043",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winner Regional Health - CAH - Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.