Organization
SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ELLEN FORTUNA MSW (EXECUTIVE DIRECTOR)
(605) 842-1465
Entity
Organization
Contact information
Practice address
500 E 9TH STREET, WINNER, SD 57580
(605) 842-1465
(605) 842-2366
Mailing address
500 E 9TH STREET, WINNER, SD 57580
(605) 842-1465
(605) 842-2366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069989
BLUE CROSS BLUE SHIELD
SD
05
—
5200120
—
SD
05
—
5256120
—
SD
01
—
9176024
DAKOTA CARE
SD
Enumeration date
02/07/2007
Last updated
07/23/2014
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