AVERA MCKENNAN (NPI# 1114246576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114246576 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MCKENNAN OUTPATIENT THERAPY MCGREEVY MAIN |
| Practice Address |
1200 S 7th Ave Suite 2 Sioux Falls SD 57105-0900 |
| Mailing Address |
Po Box 5045 Attn: Provider Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6057828307 |
| Practice Fax Number | 6057828322 |
| Mailing Telephone | 6053226400 |
| Mailing Fax Number | 6053226499 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | JULIE N NORTON (VP/CFO) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
10563 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera McKennan Outpatient Therapy McGreevy Main | Other Name - Individual/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 |
1200 S 7TH AVE SUITE 2 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080583 | Susan R Johannsen | Physician Assistant | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2005-08-11 |
| 1750818688 | Amber Nicole Groninger | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-05-23 |
| 1598296618 | Jamicah Harris | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2017-03-21 |
| 1356723308 | Courtney Backer | Pediatrics | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2015-06-26 |
| 1346646833 | Chelsey M Sundberg | Nurse Practitioner | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-11-10 |
| 1669896676 | Justine Peterson | Physician Assistant | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-02-11 |
| 1578904793 | Lorena Gonzalez Stark | Internal Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2013-07-16 |
| 1558613752 | Kelli Willis | Social Worker | 1200 S 7th Ave, Sioux Falls, SD 57105 | 2012-10-11 |
| 1912149899 | Alisa L Reindl | Family Medicine | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2009-03-24 |
| 1508037920 | Samuel Sean Schimelpfenig | Pediatrics | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811381817 | Premise Health of South Dakota PC | Clinic/Center | 2200 E Benson Rd, Sioux Falls, SD 57104-7023 | 2015-03-27 |
| 1467786640 | Avera Mckennan | Clinic/Center | 4500 S Prince of Peace Pl, Suite 1, Sioux Falls, SD 57103-5830 | 2009-09-22 |
| 1245263326 | Orthopedic Institute PC | Clinic/Center | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2006-07-09 |
| 1386620607 | Gpps LLC | Clinic/Center | 4105 S Carnegie Pl, Sioux Falls, SD 57106-2360 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1144707472 | Pure Medical Aesthetics | Clinic/Center | 525 Kansas City St, Rapid City, SD 57701-3673 | 2018-07-19 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1700090560 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760-0468 | 2007-05-10 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1063458263 | Regional Health Physicians Inc | Clinic/Center | 557 E Main Street, Hill City, SD 57745-0000 | 2006-06-22 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1609849165 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-02-07 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
| 1588185268 | Monument Health Network, Inc. | Clinic/Center | 1100 Highway 71 S Ste 101, Hot Springs, SD 57747-8801 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on AVERA MCKENNAN.
| 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.