ST BENEDICT HEALTH CENTER (NPI# 1033365333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365333 |
| Entity Type | Organization |
| Organization Name | ST BENEDICT HEALTH CENTER |
| Other Organization Name | AVERA ST BENEDICT HEALTH CENTER |
| Practice Address |
401 W Glynn Dr Parkston SD 57366-9605 |
| Practice Telephone | 6059283311 |
| Mailing Telephone | 6059283311 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MR. GALE WALKER (CEO) |
| Authorized Official Telephone | 6059283311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 10756 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9571850 | 05 |
| Other Name | Type Code |
|---|---|
| Avera St Benedict Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
| 1508980913 | St Benedict Health Center | Nursing Care | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2007-03-19 |
| 1922196385 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-11 |
| 1639264765 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-10-04 |
| 1801998273 | St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-09-05 |
| 1629170097 | St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-09-05 |
| 1538261904 | St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-09-05 |
| 1356443725 | St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-09-05 |
| 1972605343 | St Benedict Health Center | Durable Medical Equipment & Medical Supplies | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-09-05 |
| 1295758266 | St Benedict Health Center | Family Medicine | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2006-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST BENEDICT HEALTH CENTER | Butembe Plot 46,Wanyange, Jinja, , UGA |
| Street Address |
401 W GLYNN DR |
| City | PARKSTON |
| State | SD |
| Zip Code | 57366-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695656 | Candyce J Scherr | Physician Assistant | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2005-11-02 |
| 1962936856 | Paul David Berndt | Family Medicine | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-04-18 |
| 1447799846 | Heather Hisek-prunty | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
| 1811436264 | Rebecca Schultz | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
| 1629461520 | Vicki Lubbers | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2015-03-17 |
| 1841600038 | Avera At Home | In Home Supportive Care | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-04-28 |
| 1811310113 | Amanda Whittington | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-01-23 |
| 1770867715 | Lindsay Rae Weber | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2011-10-10 |
| 1912216474 | Avera St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-10-01 |
| 1184944860 | Denise A Leischner | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635108 | Varney Pharmacy LLC | Pharmacy | 102 West Main, Parkston, SD 57366 | 2006-11-15 |
| 1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
| 1215959770 | Leroy Kaufman | Optometrist | 118 E Main, Parkson, SD 57366 | 2006-07-24 |
| 1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
| 1255896072 | Dynamic Chiropractic Prof LLC | Chiropractor | 310 E Main St, Parkston, SD 57366 | 2019-02-06 |
| 1730208919 | Parkston Rural Ambulance District | Ambulance | 207 W Main St, Parkston, SD 57366 | 2007-03-28 |
| 1922196385 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-11 |
| 1285659466 | Parkston Chiropractic Clinic, Prof. L.L.C. | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2006-07-12 |
| 1508933714 | Thomas Herman Neumayr | Pharmacist | 112 S Main St, Parkston, SD 57366-0430 | 2006-11-30 |
| 1801917281 | Parkston Drug Inc | Durable Medical Equipment & Medical Supplies | 112 W Main St, Parkston, SD 57366-2010 | 2007-04-03 |
| Find all providers in zip 57366 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
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|---|---|---|---|---|
| 1588277099 | Yankton Aw | Assisted Living Facility | 2903 Douglas Ave, Yankton, SD 57078-4888 | 2020-08-25 |
| 1760094122 | Mitchell Retirement | Assisted Living Facility | 2100 N Wisconsin St, Mitchell, SD 57301-1261 | 2020-08-18 |
| 1346897352 | Huron Sd Assisted Living Facility LLC | Assisted Living Facility | 1251 Arizona Ave Sw, Huron, SD 57350-3015 | 2019-08-23 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1447722210 | Sturgis Assisted Living, LLC | Assisted Living Facility | 2065 Moose Dr, Sturgis, SD 57785-4003 | 2018-12-18 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1760835052 | Rclalc,llc | Assisted Living Facility | 409 E Fairlane Dr, Rapid City, SD 57701-7207 | 2016-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.