NPIMap

Organization Active NPI

Winner Regional Health Clinic

  • Family Nurse Practitioner
  • Winner, SD
National Provider Identifier
1790367340
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WINNER REGIONAL HEALTH CLINIC
Practice address
745 East 8TH Street
Winner, SD 57580-2677
Phone
(605) 842-2626
Fax
(605) 842-7310
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WINNER REGIONAL HEALTHCARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Kevin Coffey
Title
Ceo
Phone
(605) 842-7299

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

745 East 8TH Street
Winner, SD 57580-2677

Mailing address

745 East 8TH Street
Winner, SD 57580-2677
Phone (605) 842-7175

National Provider Directory

National Provider Directory
Tax ID family
Winner Regional Health Clinic6 organizations share this tax ID, including this one
Part of
Winner Regional Health Clinic

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1790367340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 EAST 8TH STREET",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802677",
            "telephone_number": "605-842-7175",
            "fax_number": "605-842-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 EAST 8TH STREET",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802677",
            "telephone_number": "605-842-2626",
            "fax_number": "605-842-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER REGIONAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINNER REGIONAL HEALTHCARE CENTER",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-842-7299"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2021; 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.