Healthcare Provider Details

I. General information

NPI: 1649550401
Provider Name (Legal Business Name): WINNER REGIONAL HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 E 8TH ST
WINNER SD
57580-2677
US

IV. Provider business mailing address

745 E 8TH ST
WINNER SD
57580-2677
US

V. Phone/Fax

Practice location:
  • Phone: 605-842-2626
  • Fax: 605-842-3557
Mailing address:
  • Phone: 605-842-2626
  • Fax: 605-842-3557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUCY H ATTEBERRY
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 605-842-7212