AVERA MCKENNAN (NPI# 1134139215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134139215 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP CHAMBERLAIN |
| Practice Address |
101 S Front Street Chamberlain SD 57325-0027 |
| Mailing Address |
Po Box 27 Chamberlain SD 57325-0027 |
| Practice Telephone | 6052346584 |
| Practice Fax Number | 6052345002 |
| Mailing Telephone | 6052346584 |
| Mailing Fax Number | 6052345002 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | MS. JULIE N. NORTON (SR. VP FINANCE / CFO) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Chamberlain | 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 |
101 S FRONT STREET |
| City | CHAMBERLAIN |
| State | SD |
| Zip Code | 57325-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409887 | Angelia Frederick | Registered Nurse | 100 Sioux Drive, Chamberlain, SD 57325 | 2016-11-17 |
| 1689837726 | St Josephs Indian School | Psychologist | 1301 N Main Ave, Chamberlain, SD 57325 | 2008-07-09 |
| 1134210180 | Missouri Valley Ambulance Service | Ambulance | 306 N. Courtland St., Chamberlain, SD 57325 | 2006-09-27 |
| 1013017227 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 110 Beebe St, Ste 1, Chamberlain, SD 57325 | 2006-09-25 |
| 1194773622 | Cynthia L Davis | Obstetrics & Gynecology | 300 S Byron Blvd, Chamberlain, SD 57325 | 2006-05-05 |
| 1386611697 | Tyler Joe Hammell | Chiropractor | 303 N Main St, Chamberlain, SD 57325 | 2006-03-06 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1184062234 | Sara Kay Klein | Nurse Practitioner | 101 South Front St., Chamberlain, SD 57325-0027 | 2013-06-11 |
| 1528071297 | Rural Health Care, Inc | Clinic/Center | 116 Main Street, Presho, SD 57325-0027 | 2006-08-14 |
| 1619010543 | Chamberlain Academy | Residential Treatment Facility, Emotionally Disturbed Children | 211 W 16th Ave, Chamberlain, SD 57325-0367 | 2007-02-14 |
| Find all providers in zip 57325 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367429 | Kaylyn Jean Doney | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2019-07-04 |
| 1922441161 | Joel Eggers | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2013-04-08 |
| 1548574015 | Lacey Ann Olson | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2010-07-27 |
| 1013139823 | Chad J Carda | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2007-05-02 |
| 1083628895 | Joshua Wade Payer | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2006-07-28 |
| 1871517318 | Sanford Health Network | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2006-07-27 |
| 1922054378 | Travis M Sanger | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2006-05-26 |
| 1275586265 | John Boyd Jones | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1447877386 | Black Hills Primary Care PC | Family Medicine | 8075 Stage Stop Rd., Summerset, SD 57718 | 2020-06-26 |
| 1467003251 | Arthur Lampert | Family Medicine | 1770 Tablerock Rd Apt 120, Rapid City, SD 57701-5586 | 2019-09-24 |
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1568991446 | Callie Pederson | Family Medicine | 28th Medical Group, 2900 Doolitle Drive, Ellsworth Afb, SD 57706-4821 | 2017-06-05 |
| 1144751256 | Maya Itza Koehler | Family Medicine | 534 Oregon Ave Se, Huron, SD 57350-2801 | 2017-03-22 |
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERLAIN |
| Zip Code | 57325 |
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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.