BOWLING GREEN INN OF SOUTH DAKOTA, INC. – NPI #1104885649
Substance Abuse 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.

BOWLING GREEN INN OF SOUTH DAKOTA, INC. is a substance abuse rehabilitation facility located in CANTON, SD. NPPES has assigned the NPI number 1104885649 to BOWLING GREEN INN OF SOUTH DAKOTA, INC. on March 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jan 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOWLING GREEN INN OF SOUTH DAKOTA, INC. below.

NPI Profile for
BOWLING GREEN INN OF SOUTH DAKOTA, INC.

NPI Number
1104885649
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOWLING GREEN INN OF SOUTH DAKOTA, INC.
Primary location
1010 E 2ND ST
CANTON, SD 57013-1905
Phone: (800) 992-1921 Fax: (605) 987-2365
Mailing address
4020 ASPEN GROVE DR STE 900
FRANKLIN, TN 37067-3134
Phone: (615) 861-6000 Fax:
Organization Subpart
No
Authorized Official
BRIAN FARLEY
VICE PRESIDENT & SECRETARY
Phone: (615) 861-6000
Updated
Certification Date
Jan 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BOWLING GREEN INN OF SOUTH DAKOTA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSD5000020
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
SD 10504

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.