AVERA MCKENNAN (NPI# 1275562027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275562027 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA GREGORY HOSPITAL |
| Practice Address |
400 Park Ave. Gregory SD 57533-1302 |
| Mailing Address |
400 Park Ave. Po Box 408 Gregory SD 57533-0408 |
| Practice Telephone | 6058358394 |
| Practice Fax Number | 6058359422 |
| Mailing Telephone | 6058358394 |
| Mailing Fax Number | 6058359422 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | JACK R WILLIAMS (CEO) |
| Authorized Official Telephone | 6058358394 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
54875 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0159260 | 05 | |
| SD | 0100350 | 05 | |
| SD | 5500350 | 05 |
| Other Name | Type Code |
|---|---|
| Avera Gregory Hospital | 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 |
400 PARK AVE. |
| City | GREGORY |
| State | SD |
| Zip Code | 57533-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255435814 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-0408 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438110 | Lesley Lynn Holmes | Social Worker | 841 S Jackson St Suite C, Burke, SD 57533 | 2020-05-12 |
| 1952554537 | Donald Eli Nemer | Dentist | 616 Whittecar Ave., Gregory, SD 57533 | 2008-10-28 |
| 1184826547 | Gregory Assisted Living | Assisted Living Facility | 210 E 12th Street, Gregory, SD 57533 | 2007-06-05 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1720170194 | Benjamin Andrew Stukel | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2006-09-29 |
| 1912995515 | Gregory Drug | Pharmacy | 604 Main, Gregory, SD 57533 | 2005-10-09 |
| 1083896294 | James Michael Arlt | Nurse Anesthetist, Certified Registered | 400 Park Ave, Gregory, SD 57533 | 2007-11-29 |
| 1104962794 | Braun Chiropractic Center | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2007-01-30 |
| 1184687071 | City of Gregory | Ambulance | 120 W 6th St, Gregory, SD 57533-0411 | 2006-04-11 |
| 1447400700 | Silver Threads, Inc. | Assisted Living Facility | 210 E 12th St, Gregory, SD 57533-1181 | 2008-09-23 |
| Find all providers in zip 57533 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770939530 | Avera Gregory | General Acute Care Hospital | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-11 |
| 1255435814 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-0408 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| 1720026222 | Landmann Jungman Memorial Hospital | General Acute Care Hospital | 600 Billars St, Scotland, SD 57059-2026 | 2006-06-04 |
| 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.