AVERA HOME MEDICAL EQUIPMENT LLC NPI 1902972334

NPI Information

NPI: 1902972334
Provider Name: AVERA HOME MEDICAL EQUIPMENT, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2400 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-1881
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AVERA HOME MEDICAL EQUIPMENT, LLC is a durable medical equipment medical supplies in Sioux Falls, SD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AVERA HOME MEDICAL EQUIPMENT, LLC NPI is 1902972334. The provider is registered as an organization entity type.

The provider's business location address is:

2400 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105-761
Phone: (605) 322-1881
Fax: (605) 322-1899

The provider's authorized official is Sandra D Dieleman .
The authorized official title is President/ceo and has the following contact phone number (605) 322-1872.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 10/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		51009=========EST001	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9161914	MEDICAID	SOUTH DAKOTA
2	0561985	MEDICAID	IOWA
3	4653210004	MEDICARE NSC	SOUTH DAKOTA
4	245935300	MEDICAID	MINNESOTA
5	=========01	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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