Provider Demographics
NPI:1467910539
Name:WINNER REGIONAL HEALTHCARE CENTER
Entity type:Organization
Organization Name:WINNER REGIONAL HEALTHCARE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-842-7299
Mailing Address - Street 1:745 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2677
Mailing Address - Country:US
Mailing Address - Phone:605-842-4000
Mailing Address - Fax:605-842-3996
Practice Address - Street 1:745 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-2677
Practice Address - Country:US
Practice Address - Phone:605-842-4000
Practice Address - Fax:605-842-3996
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINNER REGIONAL HEALTHCARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-07
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD100-2062OtherLICENSE NUMBER