Organization
GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES
Active
Other names
Prairie Crossings
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MONNENS (BUSINESS OFFICE MANAGER)
(605) 882-2045
Entity
Organization
Contact information
Practice address
424 9TH ST SE, WATERTOWN, SD 57201-4554
(605) 882-9003
(605) 882-9433
Mailing address
901 14TH AVE NE STE A, WATERTOWN, SD 57201-6820
(605) 882-2045
(605) 882-0132
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
10684
SD
310400000X
Assisted Living Facility
10738
SD
310400000X
Assisted Living Facility
Primary
10746
SD
310400000X
Assisted Living Facility
11052
SD
310400000X
Assisted Living Facility
40458
SD
310400000X
Assisted Living Facility
41916
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570210
—
SD
05
—
9570215
—
SD
05
—
9571950
—
SD
Enumeration date
02/16/2007
Last updated
09/20/2013
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