Provider Type Icon

GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES NPI 1922142785


NPI Information

NPI: 1922142785
Provider Name: GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES

Doing Business As: PRAIRIE CROSSINGS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
424 9TH ST SE
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-9003
Get Directions

GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES is an assisted living facility in Watertown, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOOD SAMARITAN - SIOUX VALLEY COMMUNITY HEALTH SERVICES NPI is 1922142785. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Crossings.

The provider's business location address is:

424 9TH ST SE
WATERTOWN, SD
ZIP 57201-554
Phone: (605) 882-9003
Fax: (605) 882-9433

The provider's authorized official is Kathy Monnens .
The authorized official title is Business Office Manager and has the following contact phone number (605) 882-2045.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 9/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility10738SOUTH DAKOTANo
2310400000XAssisted Living Facility40458SOUTH DAKOTANo
3310400000XAssisted Living Facility10684SOUTH DAKOTANo
4310400000XAssisted Living Facility11052SOUTH DAKOTANo
5310400000XAssisted Living Facility41916SOUTH DAKOTANo
6310400000XAssisted Living Facility10746SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19570215MEDICAIDSOUTH DAKOTA
29570210MEDICAIDSOUTH DAKOTA
39571950MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.