MCCROSSAN BOYS RANCH NPI 1407988108

NPI Information

  • NPI: 1407988108
  • Provider Name: MCCROSSAN BOYS RANCH
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 47135 260TH ST
    SIOUX FALLS, SD
    ZIP 57107
  • Phone: (605) 339-1203

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NPI Details

MCCROSSAN BOYS RANCH is a residential treatment facility emotionally disturbed children in Sioux Falls, SD. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MCCROSSAN BOYS RANCH NPI is 1407988108. The provider is registered as an organization entity type.

The provider's business location address is:

47135 260TH ST
SIOUX FALLS, SD
ZIP 57107-428
Phone: (605) 339-1203
Fax: (605) 339-3144

The provider's authorized official is Darla K Krueger .
The authorized official title is Business Manager and has the following contact phone number (605) 339-1203.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children97333SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15160010MEDICAIDSOUTH 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: 11/21/2025

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