AVERA MCKENNAN (NPI# 1922413806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922413806 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Practice Address |
400 2nd Ave Brookings SD 57006 |
| Practice Telephone | 6056979514 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | JULIE NORTON (CFO/SVP) |
| Authorized Official Telephone | 6053227818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
CP000864 | SD | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 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 2ND AVE |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| 1376698894 | William John Price | Psychologist | 211 Fourth St, Brookings, SD 57006 | 2007-01-24 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437650751 | T & L Quick Care PC | Clinic/Center | 1056 29th St Se, Watertown, SD 57201-9120 | 2018-02-22 |
| 1225586621 | Quick Health Urgent Care LLC | Clinic/Center | 7600 S Louise Ave, Ste 150, Sioux Falls, SD 57108-5999 | 2016-09-14 |
| 1124385554 | Black Hills Urgent Care LLC | Clinic/Center | 741 Mountain View Rd Ste 1, Rapid City, SD 57702-2539 | 2012-04-23 |
| 1528671005 | Abbie Ann Styes | Clinic/Center | 1420 N 10th St, Spearfish, SD 57783-1532 | 2020-08-25 |
| 1033637301 | Quick Health Urgent Care LLC | Clinic/Center | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2017-09-06 |
| 1699226308 | Medrx Urgent Care LLC | Clinic/Center | 5000 S Mac Arthur Ln, Sioux Falls, SD 57108-5401 | 2016-10-18 |
| 1306295217 | Black Hills Surgical Hospital, LLP | Clinic/Center | 120 E Michigan St, Spearfish, SD 57783-1506 | 2016-06-10 |
| 1861876278 | Regional Health | Clinic/Center | 2116 Jackson Blvd, Rapid City, SD 57702-3495 | 2015-07-15 |
| 1124407044 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 1303 N Lacrosse St, Rapid City, SD 57701-6956 | 2015-05-26 |
| 1306225222 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 2116 Jackson Blvd, Rapid City, SD 57702-3495 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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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.