AVERA MCKENNAN (NPI# 1083679625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083679625 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP MILLER |
| Practice Address |
300 W 5th St Miller SD 57362-1238 |
| Mailing Address |
300 W 5th St Po Box 287 Miller SD 57362-1238 |
| Practice Telephone | 6058530158 |
| Practice Fax Number | 6058533885 |
| Mailing Telephone | 6058530158 |
| Mailing Fax Number | 6058533885 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | MS. JULIE N NORTON (V.P. OF FINANCE) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Miller | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979805 | Avera Mckennan | Substance Abuse Rehabilitation Facility | 6140 S Curae Lane, Sioux Falls, SD 57108-3047 | 2019-08-27 |
| 1205311628 | Avera Mckennan | Pharmacy | 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 | 2018-10-02 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1851848444 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 2100 S Marion Road, Ste 125, Sioux Falls, SD 57106-3645 | 2016-09-01 |
| 1295187417 | Avera Mckennan | Psychiatry & Neurology | 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 | 2016-07-12 |
| 1669871000 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 | 2014-08-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1629499132 | Avera Mckennan | Occupational Therapist | 1601 W 44th Pl, Sioux Falls, SD 57105-6376 | 2013-12-31 |
| 1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
| 1467711739 | Avera Mckennan | Pharmacy | 1301 S Cliff Ave Ste 225, Sioux Falls, SD 57105-1068 | 2012-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AVERA MCKENNAN | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 |
| Iowa Business Entities | AVERA MCKENNAN | 1325 S. Cliff St., Sioux Falls, SD 57105 |
| System for Award Management (SAM) Entities | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 |
| Street Address |
300 W 5TH ST |
| City | MILLER |
| State | SD |
| Zip Code | 57362-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235619024 | Cynthia Binger | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-08-21 |
| 1376020040 | Bobbi Jo Peterson | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-07-25 |
| 1932686946 | Denae Schlechter | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-07-23 |
| 1689181364 | Kelsey Marie Johnson | Dietitian, Registered | 300 W 5th St, Miller, SD 57362-1238 | 2018-01-04 |
| 1205294469 | Justin Ward | Nurse Practitioner | 300 W 5th St, Miller, SD 57362-1238 | 2016-02-03 |
| 1982088514 | Caitlyn Ingle | Physical Therapist | 300 W 5th St, Miller, SD 57362-1238 | 2015-07-14 |
| 1265864995 | Timothy Martin Haiar | Physical Therapist | 300 W 5th St, Miller, SD 57362-1238 | 2013-08-05 |
| 1376984872 | Kami S Price | Physical Therapist | 300 W 5th St, Miller, SD 57362-1238 | 2013-07-12 |
| 1215285093 | Cassandra A Gutzmer | Nurse Practitioner | 300 W 5th St, Miller, SD 57362-1238 | 2012-08-27 |
| 1629354345 | Christine M Pawlowski | Speech-Language Pathologist | 300 W 5th St, Miller, SD 57362-1238 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629268230 | Miller Area School District #29-3 | Local Education Agency (LEA) | 623 East 4th Street, Miller, SD 57362-0257 | 2007-07-30 |
| 1053892364 | Ana-marie Joy Nelson | Physical Therapist | 306 W 2nd St, Miller, SD 57362-1202 | 2018-08-24 |
| 1245295237 | Hand County Memorial Hospital | Assisted Living Facility | 318 W 5th St, Miller, SD 57362-1238 | 2006-04-20 |
| 1720231400 | Hand County Memorial Hospital, Inc. | Registered Nurse | 318 W 5th St, Miller, SD 57362-1238 | 2008-10-28 |
| 1578742052 | Hand County Memorial Hospital | Ambulance | 318 W 5th St, Miller, SD 57362-1238 | 2007-10-31 |
| 1437108180 | Avera At Home | Home Health | 318 W 5th St, Miller, SD 57362-1238 | 2006-05-09 |
| 1801414958 | Elizabeth Holloway | Dentist | 107 W 3rd St # 1324, Miller, SD 57362-1324 | 2020-07-06 |
| 1124533260 | Miller Dental Clinic Prof LLC | Dentist | 107 W 3rd St, Miller, SD 57362-1324 | 2017-12-12 |
| 1912108556 | Robert L Swenson Dds PC | Dentist | 107 W 3rd St, Miller, SD 57362-1324 | 2007-05-30 |
| 1790850386 | Robert L Swenson | Dentist | 107 W 3rd St, Miller, SD 57362-1324 | 2006-11-21 |
| Find all providers in zip 57362 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
| 1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
| 1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
| 1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
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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.