AVERA MCKENNAN (NPI# 1154979805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154979805 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA ADDICTION CARE CENTER |
| Practice Address |
6140 S Curae Lane Sioux Falls SD 57108-3047 |
| Mailing Address |
Po Box 5045 Cbo Prv Enrlmt Palm Place Sioux Falls SD 57117-5045 |
| Practice Telephone | 6055042222 |
| Practice Fax Number | 6055042223 |
| Mailing Telephone | 6053226404 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | DAVID WILLIAM FLICEK (PRESIDENT/CEO) |
| Authorized Official Telephone | 6053227915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Avera Addiction Care Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6150 S Curae Lane, Sioux Falls, SD 571083047 | 6055042222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
6140 S CURAE LANE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398011 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 3800 S Kiwanis Ave, Sioux Falls, SD 57105-4234 | 2016-10-28 |
| 1518206051 | Volunteers of America,dakotas | Substance Abuse Rehabilitation Facility | 1310 W 51st St, Sioux Falls, SD 57105-6606 | 2013-02-04 |
| 1902937394 | The Glory House of Sioux Falls | Substance Abuse Rehabilitation Facility | 4000 S West Ave, Sioux Falls, SD 57105-6601 | 2007-03-08 |
| 1952446411 | Carroll Institute | Substance Abuse Rehabilitation Facility | 310 S 1st Ave, Sioux Falls, SD 57104-6329 | 2007-02-21 |
| 1164786240 | Volunteers of America,dakotas | Substance Abuse Rehabilitation Facility | 1401 W 51st St, Sioux Falls, SD 57105-6657 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295090082 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 1205 E Saint James St, Rapid City, SD 57701-3958 | 2012-07-09 |
| 1902057631 | Anpetu Luta Otipi | Substance Abuse Rehabilitation Facility | Bia Hwy 39 No Flesh Road, Box 275, Kyle, SD 57752-0275 | 2008-09-30 |
| 1629235627 | Black Hills Recovery Center | Substance Abuse Rehabilitation Facility | 1807 Williams St, Sturgis, SD 57785-1142 | 2008-05-19 |
| 1225208010 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Substance Abuse Rehabilitation Facility | # 7 Hospital Lane, Rosebud, SD 57570-0348 | 2008-03-07 |
| 1316167505 | Rosebud Sioux Tribe Piya Mani Otipi | Substance Abuse Rehabilitation Facility | Bristal Ranch Hwy 18, Mission, SD 57555-0428 | 2007-04-27 |
| 1194851469 | Pennington County Sheriff's Office | Substance Abuse Rehabilitation Facility | 725 N Lacrosse St, Ste 300, Rapid City, SD 57701-1491 | 2007-02-23 |
| 1508900507 | Dakotah Pride Center Sisseton Wahpeton Oyate | Substance Abuse Rehabilitation Facility | 388 Dakota Ave, Sisseton, SD 57262-3327 | 2007-02-16 |
| 1659411171 | Ysi Springfield Academy | Substance Abuse Rehabilitation Facility | 709 6th St, Springfield, SD 57062 | 2007-02-07 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1548219108 | Timberline Treatment Center | Substance Abuse Rehabilitation Facility | 2910 4th Ave, Spearfish, SD 57783-3224 | 2006-05-09 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.