AVERA MCKENNAN (NPI# 1710089172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710089172 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA DELLS AREA HOSPITAL SWINGBED |
| Practice Address |
909 North Iowa Ave Dell Rapids SD 57022-1231 |
| Practice Telephone | 6054285431 |
| Practice Fax Number | 6054283906 |
| Mailing Telephone | 6054285431 |
| Mailing Fax Number | 6054283906 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | JULIE NORTON (VP/CFO) |
| Authorized Official Telephone | 6053226375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 50754 | SD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SD BLUE CROSS SWBED PROV# | 8B027 | 01 |
| SD | 0159800 | 05 |
| Other Name | Type Code |
|---|---|
| Avera Dells Area Hospital Swingbed | 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 |
909 NORTH IOWA AVE |
| City | DELL RAPIDS |
| State | SD |
| Zip Code | 57022-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170730 | Mindy Stewart | Pharmacist | 1208 N Highway 77, Dell Rapids, SD 57022 | 2016-09-01 |
| 1417304544 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1208 N. Highway 77, Dell Rapids, SD 57022 | 2016-05-18 |
| 1194992412 | Ronald Roger Tibke | Physical Therapist | 702 Fairway Circle, Dell Rapids, SD 57022 | 2008-05-15 |
| 1447275979 | Mitchel Lester Rydberg | Family Medicine | 2501 W 22st, Va Medical Center, Siouxf Falls, SD 57022 | 2006-07-13 |
| 1568907442 | Alex Nachreiner | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-30 |
| 1346785490 | Chirosport Dell Rapids PC | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-28 |
| 1154866200 | Danika Lee Nachreiner | Chiropractor | 410 W 4th Street, Dell Rapids, SD 57022 | 2016-12-28 |
| 1891879359 | Dell Rapids School District 49-3 | Local Education Agency (LEA) | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2006-10-24 |
| 1487002853 | Jill Dvorak | Registered Nurse | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| 1770931115 | Julie Wynja | Speech-Language Pathologist | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| Find all providers in zip 57022 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1144292244 | City of Redfield | Medicare Defined Swing Bed Unit | 111 West 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1417215740 | Avera Mckennan | Medicare Defined Swing Bed Unit | 400 Park Ave, Gregory, SD 57533-1302 | 2012-04-24 |
| 1366611402 | Avera Mckennan | Medicare Defined Swing Bed Unit | 300 W 5th St, Miller, SD 57362-1238 | 2008-02-22 |
| 1255500534 | Avera Queen of Peace | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2008-02-21 |
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| 1407918063 | Huron Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 172 4th St Se, Huron, SD 57350-2510 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | DELL RAPIDS |
| Zip Code | 57022 |
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.