AVERA MCKENNAN (NPI# 1750854956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750854956 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Practice Address |
1100 S 10th Ave Rock Rapids IA 51246-2020 |
| Mailing Address |
Po Box 5045 Cbo Prv Enrmt Palm Place Sioux Falls SD 57117-5045 |
| Practice Telephone | 7124725400 |
| Mailing Telephone | 6053226428 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| AVERA MERRILL PIONEER 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 |
1100 S 10TH AVE |
| City | ROCK RAPIDS |
| State | IA |
| Zip Code | 51246-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245875590 | Alyssa Andrea Laleman | Pharmacist | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-11-11 |
| 1992261002 | Kellie Goedken Den Hartog | Family Medicine | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-02-13 |
| 1093288292 | Avera Mckennan | Medicare Defined Swing Bed Unit | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-01-10 |
| 1003389206 | Avera Mckennan | Clinic/Center | 1100 S 10th Ave, Ste 100, Rock Rapids, IA 51246-2020 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302566 | Naiyuan Zhang-lunser | Acupuncturist | 111th S Story St, Rock Rapids, IA 51246 | 2020-10-06 |
| 1912107996 | Brynn Ely Ladd | Physical Therapist | Merrill Pioneer Hospital, 801 S. Greene Ave., Rock Rapids, IA 51246 | 2007-07-19 |
| 1467550061 | Joseph Andrew Murphy | Dentist | 601 N 2nd Ave, Rock Rapids, IA 51246 | 2006-09-20 |
| 1093898066 | Kathryn Joan Ranschau | Physician Assistant | 803 S Greene St, Rock Rapids, IA 51246 | 2006-10-23 |
| 1306908280 | Robert James Degooyer | Hearing Instrument Specialist | 607 South Carroll Street, Park Rapids, IA 51246-0243 | 2006-12-15 |
| 1184024846 | Kayla White | Speech-Language Pathologist | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | 2014-09-01 |
| 1689271934 | Austyn Joan Thier | Physical Therapist | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | 2020-10-08 |
| 1396218244 | Sanford Clinic | Family Medicine | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | 2019-01-03 |
| 1538697164 | Sarah Jo Heinen | Family Medicine | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | 2017-05-26 |
| 1063489177 | Michael Lee Roetman | Optometrist | 502 1st Ave, Rock Rapids, IA 51246-1014 | 2006-03-07 |
| Find all providers in zip 51246 | ||||
| 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 |
|---|---|---|---|---|
| 1609806280 | Sanford Health Network | General Acute Care Hospital | 801 S Greene St, Rock Rapids, IA 51246-1948 | 2006-07-03 |
| 1881620201 | Sanford Health Network | General Acute Care Hospital | 801 S Greene St, Rock Rapids, IA 51246-1948 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
| City | ROCK RAPIDS |
| Zip Code | 51246 |
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.