AVERA MCKENNAN (NPI# 1780829283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780829283 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP PIERRE |
| Practice Address |
100 Mac Ln Pierre SD 57501-3391 |
| Practice Telephone | 6052245901 |
| Practice Fax Number | 6059453244 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | JULIE N NORTON (VP FINANCE) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Pierre | 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 |
100 MAC LN |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770514234 | Vilas Pharmacy | Durable Medical Equipment & Medical Supplies | 100 Mac Ln, Suite #2, Pierre, SD 57501-3391 | 2006-07-05 |
| 1134750011 | Kacey Beth Hutchison | Social Worker | 100 Mac Ln, Pierre, SD 57501-3391 | 2020-01-30 |
| 1578028981 | Jada Hawkinson | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2019-02-11 |
| 1205308095 | Wren Hollingsworth | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-12-18 |
| 1326518556 | Jessica Rumpca | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-11-30 |
| 1750865192 | Kelsey Marie Hupp | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-21 |
| 1073097895 | Ali Marie Smith | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-18 |
| 1609357623 | Brittany Bo Kerr | Physician Assistant | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-08-27 |
| 1881196319 | Allison Jo Bradshaw | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501 | 2018-02-28 |
| 1932651122 | Avera St. Mary's | Pharmacy | 100 Mac Ln, Suite 101, Pierre, SD 57501-3391 | 2016-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518900125 | Medical Associates Clinic LLP | Clinic/Center | 100 Mac Lane, Pierre, SD 57501 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1144707472 | Pure Medical Aesthetics | Clinic/Center | 525 Kansas City St, Rapid City, SD 57701-3673 | 2018-07-19 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1811381817 | Premise Health of South Dakota PC | Clinic/Center | 2200 E Benson Rd, Sioux Falls, SD 57104-7023 | 2015-03-27 |
| 1700090560 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760-0468 | 2007-05-10 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1063458263 | Regional Health Physicians Inc | Clinic/Center | 557 E Main Street, Hill City, SD 57745-0000 | 2006-06-22 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1609849165 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-02-07 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
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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.