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General NPI Number Information
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NPI Number | 1649550401
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Entity Type | Organization
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Legal Business Name | WINNER REGIONAL HEALTHCARE CENTER
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 745 E 8TH ST
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City | WINNER
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State | SD
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Zip | 57580-2677
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Country | US
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Telephone | 605-842-2626
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Fax | 605-842-3557
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Provider Business Mailing Address
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Address Line | 745 E 8TH ST
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City | WINNER
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State | SD
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Zip | 57580-2677
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Country | US
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Telephone | 605-842-2626
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Fax | 605-842-3557
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | LUCY H ATTEBERRY
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Credential |
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Telephone | 605-842-7212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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