Healthcare Provider Details

I. General information

NPI: 1851421333
Provider Name (Legal Business Name): WINNER REGIONAL HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/26/2013
Certification Date:
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: 605-842-7100
  • Fax: 605-842-7173
Mailing address:
  • Phone: 605-842-7100
  • Fax: 605-842-7173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN COFFEY
Title or Position: CEO
Credential:
Phone: 605-842-7212