AVERA MCKENNAN (NPI# 1952841629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952841629 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA DIALYSIS MILBANK |
| Practice Address |
301 Flynn Dr Ste 4 Milbank SD 57252-1508 |
| Mailing Address |
Po Box 5045 Attn: Pfs Provider Enrllment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6054323340 |
| Practice Fax Number | 6054323344 |
| Mailing Telephone | 6053226428 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | JULIE N NORTON (CFO) |
| Authorized Official Telephone | 6053227818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10563 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera Dialysis Milbank | 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 |
301 FLYNN DR STE 4 |
| City | MILBANK |
| State | SD |
| Zip Code | 57252-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943255 | James Keith Bailey | Family Medicine | 301 Flynn Dr, Milbank, SD 57252-1508 | 2006-02-24 |
| 1225182678 | Bien Pharmacy Inc | Pharmacy | 301 Flynn Dr, Suite 2, Milbank, SD 57252-1508 | 2007-01-23 |
| 1053474650 | Wendy Bailey | Psychologist | 301 Flynn Dr, Milbank, SD 57252-1508 | 2006-12-18 |
| 1013024009 | Avera Mckennan | Clinic/Center | 301 Flynn Dr, Milbank, SD 57252-1502 | 2006-08-24 |
| 1326154220 | Avera Mckennan | Medicare Defined Swing Bed Unit | 301 Flynn Dr, Milbank, SD 57252-1502 | 2006-08-22 |
| 1558474411 | Avera At Home | In Home Supportive Care | 301 Flynn Dr, Home Health Department, Milbank, SD 57252-2124 | 2006-08-16 |
| 1467565325 | Avera At Home | Hospice Care, Community Based | 301 Flynn Dr, Hospice Department, Milbank, SD 57252-2124 | 2006-08-16 |
| 1548272818 | Avera Mckennan | General Acute Care Hospital | 301 Flynn Dr, Milbank, SD 57252-1502 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629319231 | Erin Elizabeth Kannegieter | Physical Therapy Assistant | 1103 South 2nd Street, Milbank, SD 57252 | 2013-03-06 |
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1063593275 | Mark A Bierschbach D.d.s., P.C. | Dentist | 1203 East 4th Ave., Suite 103, Milbank, SD 57252 | 2006-10-17 |
| 1336686500 | Wapiti Medical Group Limited Company | Internal Medicine | 107 Flynn Dr Ste 600, Milbank, SD 57252 | 2017-01-26 |
| 1083636773 | Alan David Bergquist | Chiropractor | 1203 E. 4th Ave. Suite 101, Milbank, SD 57252-0230 | 2006-07-24 |
| 1962620260 | Whetstone Valley Electric Cooperative | Technician, Other | 1101 E 4th Ave, Milbank, SD 57252-0512 | 2007-04-23 |
| 1639383383 | Wapiti Medical Corporation | Specialist | 603 S Dakota St, Milbank, SD 57252-0523 | 2007-05-10 |
| 1093909616 | Mary G Bray | Occupational Therapy Assistant | 309 N Bell Ave, Milbank, SD 57252-1302 | 2007-08-28 |
| 1992701619 | Nanci J Vanpeursem | Family Medicine | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2005-06-27 |
| 1992158760 | Elizabeth Van Lith | Physician Assistant | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2016-07-18 |
| Find all providers in zip 57252 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502614 | Total Renal Care Inc | Clinic/Center | 3313 6th Ave Se, Aberdeen, SD 57401-5504 | 2016-07-22 |
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1710087713 | Black Hills Dialysis, LLC | Clinic/Center | 100 Dialysis Drive, Pine Ridge, SD 57770-3013 | 2006-09-22 |
| 1356301519 | Total Renal Care Inc | Clinic/Center | 1 Soldier Creek Rd, Rosebud, SD 57570-0610 | 2006-03-23 |
| 1033178660 | Total Renal Care Inc | Clinic/Center | 2326 W 69th St, Sioux Falls, SD 57108-5600 | 2006-03-22 |
| 1477512093 | Total Renal Care Inc | Clinic/Center | 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 | 2006-03-22 |
| 1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
| 1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
| 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.