AVERA MCKENNAN NPI 1093288292

NPI Information

  • NPI: 1093288292
  • Provider Name: AVERA MCKENNAN
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MERRILL PIONEER HOSPITAL SWINGBED
  • CLIA Number: 16D2161177
  • Address: 1100 S 10TH AVE
    ROCK RAPIDS, IA
    ZIP 51246
  • Phone: (712) 472-5400

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NPI Details

AVERA MCKENNAN is a medicare defined swing bed unit in Rock Rapids, IA. The provider is 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. AVERA MCKENNAN NPI is 1093288292. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Merrill Pioneer Hospital Swingbed.

The provider's business location address is:

1100 S 10TH AVE
ROCK RAPIDS, IA
ZIP 51246-020
Phone: (712) 472-5400

The provider's authorized official is Ronald Joseph Place .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7903.

The CLIA number assigned to this NPI record is 16D2161177 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 10/4/2023.

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
1275N00000XMedicare Defined Swing Bed UnitYes

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: 11/21/2025

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