Healthcare Provider Details

I. General information

NPI: 1851300685
Provider Name (Legal Business Name): GALEN WADE BRITAIN MSW, CSW-PIP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N 5TH ST VA BLACK HILLS HEALTHCARE
HOT SPRINGS SD
57747-1480
US

IV. Provider business mailing address

500 N 5TH ST VA BLACK HILLS HEALTHCARE
HOT SPRINGS SD
57747-1480
US

V. Phone/Fax

Practice location:
  • Phone: 605-745-2000
  • Fax: 605-745-2089
Mailing address:
  • Phone: 605-745-2000
  • Fax: 605-745-2089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1878
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: