Provider Demographics
NPI:1780910679
Name:WINNER REGIONAL HEALTHCARE CENTER COMMUNITY HEALTH OFFICE
Entity type:Organization
Organization Name:WINNER REGIONAL HEALTHCARE CENTER COMMUNITY HEALTH OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ATTEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-842-7212
Mailing Address - Street 1:245 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-1746
Mailing Address - Country:US
Mailing Address - Phone:605-842-7166
Mailing Address - Fax:605-842-7162
Practice Address - Street 1:245 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-1746
Practice Address - Country:US
Practice Address - Phone:605-842-7166
Practice Address - Fax:605-842-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251S00000XAgenciesCommunity/Behavioral Health