Good Samaritan - Sioux Valley Community Health Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10746 Issued in SD

Legal business name

GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES

Doing business as

Prairie Crossings

Practice address

424 9TH St SE
Watertown, SD 57201-4554

Phone

(605) 882-9003

Fax

(605) 882-9433

NPI assigned

Feb 16, 2007

Last updated

Sep 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Monnens

Title

Business Office Manager

Phone

(605) 882-2045

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• Prairie Crossings Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Good Samaritan - Sioux Valley Community Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Good Samaritan-Sanford Community Health Services

  dba Prairie Crossings

  • Assisted Living Facility
  • Mitchell, SD
  • NPI 1073749743
  NPD tax ID
• Good Samaritan-Sanford Community Health Services

  dba Prairie Crossings

  • Assisted Living Facility
  • Sioux Falls, SD
  • NPI 1891921565
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1922142785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 14TH AVE NE STE A",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016820",
            "telephone_number": "605-882-2045",
            "fax_number": "605-882-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 9TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014554",
            "telephone_number": "605-882-9003",
            "fax_number": "605-882-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "MONNENS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-882-2045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10746",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10738",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "40458",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10684",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11052",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "41916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570215",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571950",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570210",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Crossings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert W Giebink, MD
• Emily Givens
• Lindsey Givens, RN
• Glacial Lakes Anesthesia, PLLC
• Kristie L Goens, CNP
• Matthew Bryan Gottesman, AUD
• Brody Grantham, DDS
• Amber Grengs, BCBA
• Debra Griffith
• Elias Grimsley

• Assisted Living Facility in Watertown, SD
• Providers in Watertown, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.