AVERA MCKENNAN (NPI# 1154350064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154350064 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA DELLS AREA HOSPITAL |
| Practice Address |
909 North Iowa Ave Dell Rapids SD 57022-1231 |
| Practice Telephone | 6054285431 |
| Practice Fax Number | 6054283906 |
| Mailing Telephone | 6054285431 |
| Mailing Fax Number | 6054283906 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | JULIE NORTON (VP/CFO) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
50754 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | PREFERRED ONE | 1026470 | 01 |
| IA | 0584227 | 05 | |
| SD | SD BLUE CROSS CRNA GROUP | 0040666 | 01 |
| MN | MN BLUECROSS BS | 3F59HDE | 01 |
| SD | 5500450 | 05 | |
| SD | DAKOTACARE | 43-0082 | 01 |
| SD | 0100450 | 05 | |
| SD | ARAZ | 543140 | 01 |
| MN | 102355100 | 05 |
| Other Name | Type Code |
|---|---|
| Avera Dells Area Hospital | 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 |
909 NORTH IOWA AVE |
| City | DELL RAPIDS |
| State | SD |
| Zip Code | 57022-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710089172 | Avera Mckennan | Medicare Defined Swing Bed Unit | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170730 | Mindy Stewart | Pharmacist | 1208 N Highway 77, Dell Rapids, SD 57022 | 2016-09-01 |
| 1417304544 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1208 N. Highway 77, Dell Rapids, SD 57022 | 2016-05-18 |
| 1194992412 | Ronald Roger Tibke | Physical Therapist | 702 Fairway Circle, Dell Rapids, SD 57022 | 2008-05-15 |
| 1447275979 | Mitchel Lester Rydberg | Family Medicine | 2501 W 22st, Va Medical Center, Siouxf Falls, SD 57022 | 2006-07-13 |
| 1568907442 | Alex Nachreiner | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-30 |
| 1346785490 | Chirosport Dell Rapids PC | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-28 |
| 1154866200 | Danika Lee Nachreiner | Chiropractor | 410 W 4th Street, Dell Rapids, SD 57022 | 2016-12-28 |
| 1891879359 | Dell Rapids School District 49-3 | Local Education Agency (LEA) | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2006-10-24 |
| 1487002853 | Jill Dvorak | Registered Nurse | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| 1770931115 | Julie Wynja | Speech-Language Pathologist | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| Find all providers in zip 57022 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1720026222 | Landmann Jungman Memorial Hospital | General Acute Care Hospital | 600 Billars St, Scotland, SD 57059-2026 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
| City | DELL RAPIDS |
| Zip Code | 57022 |
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.