National Provider Identifier Database

DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
388 DAKOTA AVE
SISSETON, SD57262-3327
Phone: 605-698-3917
Fax: 605-698-4449
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE

NPI Number 1508900507
Legal business name
LBN
DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
Authorized official RICHARD BIRD - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 42828
  • SD Medicaid: 5000230
  • SD Medicaid: 9515282

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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