AVERA MCKENNAN (NPI# 1417215740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417215740 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA GREGORY HOSPITAL SWING BED |
| Practice Address |
400 Park Ave Gregory SD 57533-1302 |
| Mailing Address |
400 Park Ave Po Box 408 Gregory SD 57533-1302 |
| Practice Telephone | 6058359394 |
| Practice Fax Number | 6058359422 |
| Mailing Telephone | 6058359394 |
| Mailing Fax Number | 6058359422 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | MR. JULIE NORTON (CFO/SVP) |
| Authorized Official Telephone | 6053227818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 43-Z338 | SD | Hospital Units |
| Other Name | Type Code |
|---|---|
| Avera Gregory Hospital Swing Bed | 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 |
400 PARK AVE |
| City | GREGORY |
| State | SD |
| Zip Code | 57533-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811091473 | Avera Mckennan | Home Health | 400 Park Ave, Gregory, SD 57533-1302 | 2006-09-12 |
| 1487176202 | Tanae Kartak | Occupational Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2017-07-13 |
| 1861841710 | Lacy Krysl | Occupational Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2016-06-10 |
| 1326495409 | Avera Mckennan | Clinic/Center | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-19 |
| 1720435068 | Justin Hood | Physical Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-17 |
| 1770939530 | Avera Gregory | General Acute Care Hospital | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-11 |
| 1346660693 | Avera At Home | Home Health | 400 Park Ave, Gregory, SD 57533-1302 | 2014-04-24 |
| 1083896294 | James Michael Arlt | Nurse Anesthetist, Certified Registered | 400 Park Ave, Gregory, SD 57533 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438110 | Lesley Lynn Holmes | Social Worker | 841 S Jackson St Suite C, Burke, SD 57533 | 2020-05-12 |
| 1952554537 | Donald Eli Nemer | Dentist | 616 Whittecar Ave., Gregory, SD 57533 | 2008-10-28 |
| 1184826547 | Gregory Assisted Living | Assisted Living Facility | 210 E 12th Street, Gregory, SD 57533 | 2007-06-05 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1720170194 | Benjamin Andrew Stukel | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2006-09-29 |
| 1912995515 | Gregory Drug | Pharmacy | 604 Main, Gregory, SD 57533 | 2005-10-09 |
| 1104962794 | Braun Chiropractic Center | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2007-01-30 |
| 1255435814 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-0408 | 2006-09-12 |
| 1184687071 | City of Gregory | Ambulance | 120 W 6th St, Gregory, SD 57533-0411 | 2006-04-11 |
| 1447400700 | Silver Threads, Inc. | Assisted Living Facility | 210 E 12th St, Gregory, SD 57533-1181 | 2008-09-23 |
| Find all providers in zip 57533 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1144292244 | City of Redfield | Medicare Defined Swing Bed Unit | 111 West 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1366611402 | Avera Mckennan | Medicare Defined Swing Bed Unit | 300 W 5th St, Miller, SD 57362-1238 | 2008-02-22 |
| 1255500534 | Avera Queen of Peace | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2008-02-21 |
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| 1407918063 | Huron Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 172 4th St Se, Huron, SD 57350-2510 | 2006-12-13 |
| 1881754497 | Avera Gettysburg | Medicare Defined Swing Bed Unit | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
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.