Soaring Eagle Treatment Center

LBN: Wellspring Inc.
Soaring Eagle Treatment Center is an health care organization with primary practice located at 117 Knollwood Dr , Rapid City SD 57701-0693. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Psychiatry, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Wellspring Inc. can be contacted via phone (605) 718-4870, or through Dennis, Carla Sue via phone (605) 718-4870.

Contact Information

Primary practice address
117 Knollwood Dr Rapid City SD 57701-0693
Phone: (605) 718-4870
Fax: (605) 718-4878
Website:
Map and Directions
Authorized official contact:
Name: Dennis, Carla Sue CCDCIII, CCSII,
Phone: (605) 718-4870

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X South Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1887 South Dakota
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X R72 97406 South Dakota
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X South Dakota

Profile Details

NPI number 1891823332
LBN Legal business name Wellspring Inc.
DBA Doing business as Soaring Eagle Treatment Center
Authorized official Dennis, Carla Sue CCDCIII, CCSII,
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891823332 NPPES
South Dakota MEDICAID 5160320
South Dakota MEDICAID 5005080
South Dakota MEDICAID 5005082
South Dakota MEDICAID 7100744

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