| Ihs Great Plains Area Behavioral Health Services | |
|
12451 Hwy 1806 N Mobridge SD 57601-5760 | |
| (605) 845-7181 | |
| (605) 845-5072 |
| Full Name | Ihs Great Plains Area Behavioral Health Services |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 12451 Hwy 1806 N, Mobridge, South Dakota |
| Authorized Official Name and Position | Lavon Booth (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6058457181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihs Great Plains Area Behavioral Health Services Po Box 680 Mobridge SD 57601-0680 Ph: (605) 850-8249 | Ihs Great Plains Area Behavioral Health Services 12451 Hwy 1806 N Mobridge SD 57601-5760 Ph: (605) 845-7181 |
| NPI Number | 1316683204 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316683204 | NPI | - | NPPES |
| 5095050 | Medicaid | SD | |
| 2022304 | Medicaid | SD |
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