AVERA MCKENNAN (NPI# 1215951629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215951629 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER - REHAB UNIT |
| Practice Address |
1325 S Cliff Ave Rehabilitation Unit Sioux Falls SD 57105-1007 |
| Mailing Address |
Po Box 5045 Attn: P.f.s. Sioux Falls SD 57117-5045 |
| Practice Telephone | 6053226400 |
| Practice Fax Number | 6053226499 |
| Mailing Telephone | 6053226400 |
| Mailing Fax Number | 6053226499 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-04-07 |
| 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 | 273Y00000X | Rehabilitation Unit | 10563 | SD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BLUE CROSS OF SD | 8T016 | 01 |
| MN | 475747501 | 05 | |
| SD | 0230260 | 05 |
| Other Name | Type Code |
|---|---|
| Avera McKennan Hospital and University Health Center - Rehab Unit | 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 |
1325 S CLIFF AVE REHABILITATION UNIT |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1548873615 | Emily Catherine Dix | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-08-28 |
| 1912516873 | Gina Gronewold | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-27 |
| 1912525890 | Brooke Marie Gebhart | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-08 |
| 1093332181 | Courtney Ruth Allen | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-06 |
| 1285250548 | Danielle Hart | Anesthesiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-23 |
| 1164048039 | Madison Marie Guhlke | Speech-Language Pathologist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-17 |
| 1497379960 | Dawn Johnson | Dietitian, Registered | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-01 |
| 1790308351 | Justine Wilson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-05-18 |
| 1932735511 | Katelyn Arbogast | Occupational Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-03-16 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932123452 | Sanford Medical Center | Rehabilitation Unit | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014407 | Regional Health Physicians, Inc. | Rehabilitation Unit | 1050 Fairmont Blvd, Rapid City, SD 57701-6360 | 2018-12-16 |
| 1952378671 | Monument Health Rapid City Hospital, Inc. | Rehabilitation Unit | 1050 Fairmont Blvd Ste A100, Rapid City, SD 57701-6360 | 2006-03-01 |
| 1669915468 | Mccook Therapy & Wellness, LLC | Rehabilitation Unit | 511 S Nebraska St, Salem, SD 57058-8917 | 2016-11-28 |
| 1972779957 | Monument Health Network, Inc. | Rehabilitation Unit | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2008-04-30 |
| 1922108331 | Sacred Heart Health Services | Rehabilitation Unit | 501 Summit St, Yankton, SD 57078-3855 | 2006-09-25 |
| 1770534612 | Avera St Lukes | Rehabilitation Unit | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.