AVERA MCKENNAN NPI 1013024009

NPI Information

NPI: 1013024009
Provider Name: AVERA MCKENNAN

Doing Business As: MILBANK AREA HOSPITAL AFTER HOURS CLINIC

Classification: Clinic/Center - 261QC0050X
Entity Type: Organization

Specialization: Critical Access Hospital

Address:
301 FLYNN DR
MILBANK, SD
ZIP 57252
Phone: (605) 432-4538
Get Directions

AVERA MCKENNAN is a critical access hospital clinic center in Milbank, SD. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. AVERA MCKENNAN NPI is 1013024009. The provider is registered as an organization entity type.
The provider Is Doing Business As Milbank Area Hospital After Hours Clinic.

The provider's business location address is:

301 FLYNN DR
MILBANK, SD
ZIP 57252-502
Phone: (605) 432-4538
Fax: (605) 432-5412

The provider's authorized official is Julie Norton .
The authorized official title is Vp/cfo and has the following contact phone number (605) 322-6375.

The CLIA number assigned to this NPI record is 43D0041551 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 1/9/2017.

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	261QC0050X	Clinic/Center	Critical Access Hospital	48451	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	Other Provider Identifier Issuer
1	9204610	OTHER	SOUTH DAKOTA	DAKOTACARE AHC PROV#
2	413S6MI	OTHER	MINNESOTA	MN BLUE CROSS-AHC PROV#
3	S41135	MEDICARE PIN	SOUTH DAKOTA
4	4996299	OTHER	SOUTH DAKOTA	SD BLUE CROSS AHC PROV#

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »