AVERA MCKENNAN (NPI# 1467791228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791228 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MCGREEVY CLINIC |
| Practice Address |
212 E 11th St Sioux Falls SD 57104-6479 |
| Practice Telephone | 6053224919 |
| Mailing Telephone | 6053224919 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Authorized Official Name | KATHI L SORTER (REIMBURSEMENT AND CODING SPECIALIST) |
| Authorized Official Telephone | 6053224919 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA MCKENNAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera McGreevy Clinic | 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 |
212 E 11TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-6479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870291 | Lisa M Rave | Pharmacist | 212 E 11th St, Sioux Falls, SD 57104-6479 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093025 | Revitalized Wellness, Pllc | Clinic/Center | 401 E 8th St Ste 214-7054, Sioux Falls, SD 57103-7011 | 2020-08-11 |
| 1548570450 | Hubbel Chiropractic Clinic, PC | Clinic/Center | 510 W. 24th Street, Sioux Falls, SD 57105-1700 | 2010-10-13 |
| 1497385348 | Paragon Health & Wellness, LLC | Clinic/Center | 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831492958 | About You Physical Therapy, Inc | Clinic/Center | 5622 Sheridan Lake Rd Ste 105, Rapid City, SD 57702-8881 | 2010-12-11 |
| 1649412966 | Cheyenne River Sioux Tribe | Clinic/Center | Howes, Howes, SD 57748-0000 | 2009-04-01 |
| 1295977510 | Cherry Creek Tribal Health Center | Clinic/Center | Cherry Creek, Cherry Creek, SD 57622 | 2009-04-01 |
| 1104068428 | Cheyenne River Sioux Tribe | Clinic/Center | Swfitbird Community, Swiftbird, SD 57637-0000 | 2009-04-01 |
| 1588806806 | White Horse Tribal Health Center | Clinic/Center | White Horse Community, White Horse, SD 57661 | 2009-04-01 |
| 1093335333 | Mobridge Regional Hospital | Clinic/Center | 4401 Main St, Selby, SD 57472-2010 | 2020-04-16 |
| 1588223440 | Danielle Hohm, Fnp, Family Wellness Clinic | Clinic/Center | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
| 1437629128 | Root Function Wellness Pllc | Clinic/Center | 2320 9th Ave Se, Watertown, SD 57201-7112 | 2018-11-26 |
| 1992206023 | Black Hills Family Practice Inc | Clinic/Center | 1010 Ballpark Rd Ste 3, Sturgis, SD 57785-2208 | 2018-02-23 |
| 1619373065 | James D Kerr | Clinic/Center | 613 Walnut St, Yankton, SD 57078-3645 | 2014-11-12 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
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.