AVERA MCKENNAN (NPI# 1730390428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730390428 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MCKENNAN HOSPITAL NEONATAL INTENSIVE CARE UNIT |
| Practice Address |
1325 S Cliff Ave Neonatal Intensive Care Unit Sioux Falls SD 57105-1007 |
| Mailing Address |
Po Box 5045 P.f.s. Prov Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6053226400 |
| Practice Fax Number | 6053226499 |
| Mailing Telephone | 6053226400 |
| Mailing Fax Number | 6053226499 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-02-16 |
| 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 | 282N00000X | General Acute Care Hospital | 10563 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0230360 | 05 |
| Other Name | Type Code |
|---|---|
| Avera McKennan Hospital Neonatal Intensive Care Unit | 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 |
1325 S CLIFF AVE NEONATAL INTENSIVE CARE UNIT |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1548873615 | Emily Catherine Dix | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-08-28 |
| 1912516873 | Gina Gronewold | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-27 |
| 1912525890 | Brooke Marie Gebhart | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-08 |
| 1093332181 | Courtney Ruth Allen | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-06 |
| 1285250548 | Danielle Hart | Anesthesiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-23 |
| 1164048039 | Madison Marie Guhlke | Speech-Language Pathologist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-17 |
| 1497379960 | Dawn Johnson | Dietitian, Registered | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-01 |
| 1790308351 | Justine Wilson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-05-18 |
| 1932735511 | Katelyn Arbogast | Occupational Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407108053 | Sanford Health | General Acute Care Hospital | 3401 W 49th St Ste 2, Sioux Falls, SD 57106-2369 | 2012-10-05 |
| 1558594192 | Maria Klamm | General Acute Care Hospital | 1210 W 18th St Ste Ll01, Sioux Falls, SD 57104-4655 | 2009-08-31 |
| 1023003969 | Heart Hospital of South Dakota LLC | General Acute Care Hospital | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2005-09-16 |
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1063804318 | Va Medical Center | General Acute Care Hospital | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2015-02-24 |
| 1437579919 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2014-04-23 |
| 1144571365 | Sanford Health | General Acute Care Hospital | 3401 W 49th St, Suite 2, Sioux Falls, SD 57106-2322 | 2012-09-27 |
| 1407107808 | Sanford Medical Center | General Acute Care Hospital | 1210 W 18th St, Suite Llo1, Sioux Falls, SD 57104-4647 | 2012-09-25 |
| 1881804458 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2007-05-23 |
| 1184834764 | Avera Mckennan | General Acute Care Hospital | 800 E 21st St, Sioux Falls, SD 57105-1016 | 2007-05-23 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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.